Lumbar Epidural Analgesia : shortening time of active phase at first and second stage of labor
Supriyatiningsih(a*), Iman Permana (b), Yossie Budi (c), Pramitha Esha Nirmala Dewi (d)
a) Obstetrics and Gynecology Departement, Faculty of Medicine and Health Sciences,
Universitas Muhammadiyah Yogyakarta
b) School of Medicine, Faculty of Medicine and Health Sciences,
Universitas Muhammadiyah Yogyakarta
c) Anesthesiology Department, Faculty of Medicine and Health Sciences,
Universitas Muhammadiyah Yogyakarta
d) Department of Pharmacy Profession, Faculty of Medicine and Health Sciences,
Universitas Muhammadiyah Yogyakarta
Abstract
Introduction: Pain is a cause of unsatisfaction in labor. The use of lumbar epidural analgesia (LEA) in labor is widespread due to its benefits in terms of pain relief and shortening of time labor. Method: The study was conducted on 50 consecutive primiparous women in labor at Asri Medical Center. They were given explanations about the two options for pain relief (parenteral opioid /sedative or lumbar epidural analgesia) then grouped according to their request. The epidural group received 0.125 plain bupivacaine, while other group received pentazocine intravenously. Result: The mean duration of the first and second stages of labor, respectively, were significantly shorter in the lumbar epidural group (p = 0.01 and p = 0.02). There was no difference in the rate of cesarean delivery, epidural analgesia (32% [8/25]), parenteral opioid / sedative (44% [11/25]), (OR = 0.60; 95% CI = 0.19-1.90). The closed questionnaire showed that the overall experience of labor was much better in the lumbar epidural group (80% versus 4%). Conclusion: More primiparous satisfied with lumbar epidural analgesia than among those who received parenteral opioids / sedatives.
Keywords: Analgesia, epidural, Lumbar Epidural, non Lumbar Epidural, primiparous, labor, shortening active phase
Topic: International Symposium of Engineering, Technology, and Health Sciences