REGIONAL ANALGESIA IN SELECTIVE OUTPATIENT IN PREGNANT LABOR

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Objective: To evaluate the efficacy of selective ambulatory regional analgesia in term pregnant women. Material and methods: Prospective cohort study done at Loayza Hospital Obstetrical Service between September and December 1998. Twenty pregnant women without risk were included and double catheter...

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Autores: Siu, Carlos, Mere, Juan, Rossi, Patricia
Formato: artículo
Fecha de Publicación:2015
Institución:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista Peruana de Ginecología y Obstetricia
Lenguaje:español
OAI Identifier:oai:ginecologiayobstetricia.pe:article/642
Enlace del recurso:https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/642
Nivel de acceso:acceso abierto
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spelling REGIONAL ANALGESIA IN SELECTIVE OUTPATIENT IN PREGNANT LABORANALGESIA REGIONAL SELECTIVA AMBULATORIA EN GESTANTES EN TRABAJO DE PARTOSiu, CarlosMere, JuanRossi, PatriciaObjective: To evaluate the efficacy of selective ambulatory regional analgesia in term pregnant women. Material and methods: Prospective cohort study done at Loayza Hospital Obstetrical Service between September and December 1998. Twenty pregnant women without risk were included and double catheter analgesia was indicated; controls were twenty other pregnant women without risk that delivered posteriorly. Results: Age, parity, gestational age, weight, pre natal control and serum hemoglobin were similar in both groups, as well as, newborn weight and gestational age. Cases received analgesia in the active phase of labor (average dilatation 5,3 cm), with good active phase in 100% and regular expulsive phase in 4 cases (20%). There was no difference in delivery route. Expulsive phase duration was 5 minutes more in cases, as well as the need for oxytocin stimulation (p<0,05), and no obstetrical consequences were found. No prolongation of the expulsive phase and no differences in Apgar were found. Conclusion: Obstetrical selective epidural double catheter analgesia aliviates pain without mother or infant risk.Objetivo: Evaluar la eficacia de la analgesia regional selectiva ambulatoria en gestantes a término. Material y Métodos: Estudio prospectivo, de cohorte realizado en el Servicio de Obstetricia del Hospital Loayza entre setiembre y diciembre de 1998. Se incluyó 20 casos de gestantes sin riesgo y analgesia con doble catéter y 20 controles gestantes sin riesgo, que tuvieron su parto posterior a los casos. Resultados: Los promedios de edad, paridad, edad gestacional, peso, control prenatal y hemoglobina sérica materna no mostraron diferencias entre casos y controles, así como tampoco los pesos promedios y las edades gestacionales pediátricas de los neonatos. Los casos recibieron analgesia en fase activa (promedio 5,3 cm de dilatación), siendo de buena calidad en la fase activa (100%). Fue referida regular en el expulsivo en 4 casos (20%). No hubo diferencias en tipo de parto entre casos y controles. La duración del expulsivo fue 5 minutos más en promedio en los casos, siendo igualmente mayor la necesidad de estimulación con oxitocina (p<0,05), sin consecuencias obstétricas de importancia. No se presentaron casos de expulsivo prolongado. No hubo diferencias en los índices de Apgar entre los neonatos de casos y controles. Conclusiones: La analgesia obstétrica epidural selectiva con doble catéter proporciona alivio significativo del dolor sin poner en riesgo la salud de la madre y de su niño.Sociedad Peruana de Obstetricia y Ginecología2015-05-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ginecologiayobstetricia.pe/index.php/RPGO/article/view/64210.31403/rpgo.v45i642The Peruvian Journal of Gynecology and Obstetrics ; Vol. 45 No. 3 (1999); 194-199Revista Peruana de Ginecología y Obstetricia; Vol. 45 Núm. 3 (1999); 194-1992304-51322304-5124reponame:Revista Peruana de Ginecología y Obstetriciainstname:Sociedad Peruana de Obstetricia y Ginecologíainstacron:SPOGspahttps://ginecologiayobstetricia.pe/index.php/RPGO/article/view/642/605info:eu-repo/semantics/openAccessoai:ginecologiayobstetricia.pe:article/6422026-01-12T19:08:30Z
dc.title.none.fl_str_mv REGIONAL ANALGESIA IN SELECTIVE OUTPATIENT IN PREGNANT LABOR
ANALGESIA REGIONAL SELECTIVA AMBULATORIA EN GESTANTES EN TRABAJO DE PARTO
title REGIONAL ANALGESIA IN SELECTIVE OUTPATIENT IN PREGNANT LABOR
spellingShingle REGIONAL ANALGESIA IN SELECTIVE OUTPATIENT IN PREGNANT LABOR
Siu, Carlos
title_short REGIONAL ANALGESIA IN SELECTIVE OUTPATIENT IN PREGNANT LABOR
title_full REGIONAL ANALGESIA IN SELECTIVE OUTPATIENT IN PREGNANT LABOR
title_fullStr REGIONAL ANALGESIA IN SELECTIVE OUTPATIENT IN PREGNANT LABOR
title_full_unstemmed REGIONAL ANALGESIA IN SELECTIVE OUTPATIENT IN PREGNANT LABOR
title_sort REGIONAL ANALGESIA IN SELECTIVE OUTPATIENT IN PREGNANT LABOR
dc.creator.none.fl_str_mv Siu, Carlos
Mere, Juan
Rossi, Patricia
author Siu, Carlos
author_facet Siu, Carlos
Mere, Juan
Rossi, Patricia
author_role author
author2 Mere, Juan
Rossi, Patricia
author2_role author
author
description Objective: To evaluate the efficacy of selective ambulatory regional analgesia in term pregnant women. Material and methods: Prospective cohort study done at Loayza Hospital Obstetrical Service between September and December 1998. Twenty pregnant women without risk were included and double catheter analgesia was indicated; controls were twenty other pregnant women without risk that delivered posteriorly. Results: Age, parity, gestational age, weight, pre natal control and serum hemoglobin were similar in both groups, as well as, newborn weight and gestational age. Cases received analgesia in the active phase of labor (average dilatation 5,3 cm), with good active phase in 100% and regular expulsive phase in 4 cases (20%). There was no difference in delivery route. Expulsive phase duration was 5 minutes more in cases, as well as the need for oxytocin stimulation (p<0,05), and no obstetrical consequences were found. No prolongation of the expulsive phase and no differences in Apgar were found. Conclusion: Obstetrical selective epidural double catheter analgesia aliviates pain without mother or infant risk.
publishDate 2015
dc.date.none.fl_str_mv 2015-05-20
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/642
10.31403/rpgo.v45i642
url https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/642
identifier_str_mv 10.31403/rpgo.v45i642
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/642/605
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedad Peruana de Obstetricia y Ginecología
publisher.none.fl_str_mv Sociedad Peruana de Obstetricia y Ginecología
dc.source.none.fl_str_mv The Peruvian Journal of Gynecology and Obstetrics ; Vol. 45 No. 3 (1999); 194-199
Revista Peruana de Ginecología y Obstetricia; Vol. 45 Núm. 3 (1999); 194-199
2304-5132
2304-5124
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reponame_str Revista Peruana de Ginecología y Obstetricia
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