A randomized clinical trial to compare small frequent boluses technique with that of traditional intermittent top-ups and continuous epidural infusion, for maintenance of epidural labour analgesia

Shidhaye, Ramchandra Vinayak; Badhe, Vaijayanti Kishor; Divekar, D. S.; Dhulkhed, V. K.; Thorat, Pravin; Shidhaye, Rahul

doi:10.4038/slja.v18i2.1778

Cited by 4 publications

(4 citation statements)

References 26 publications

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“…This is similar to the findings of Duncan et al [14], who reported that continuous and intermittent epidural injection of bupivacaine provided stable heart rate. In addition, Shidhaye et al [15] in their study of women receiving epidural labour analgesia reported that the administration of both CEA and IEA provided stable and comparable heart rate in their subjects. Heart rate is influenced by the autonomic nervous system and a lower heart rate indicates parasympathetic predominance [16].…”

Section: Discussionmentioning

confidence: 97%

Comparative Evaluation of Haemodynamic Effects of Continuous Versus Intermittent Epidural Injections of Bupivacaine with Fentanyl for Major Gynaecological Surgeries

Nnaji¹

2023

J Clin Med Surgery

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Section: Discussionmentioning

confidence: 97%

Comparative Evaluation of Haemodynamic Effects of Continuous Versus Intermittent Epidural Injections of Bupivacaine with Fentanyl for Major Gynaecological Surgeries

Nnaji¹

2023

J Clin Med Surgery

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“…We again assessed respondent's awareness of the various options of labour analgesia services available at the delivery unit of the Tamale Teaching Hospital. We observed that 2 (0.4%) of the respondents were informed of IV/IM injections (analgesic), 527 (97.6 %) were informed of epidural labour local anaesthetics or analgesics and overwhelming patient numbers [6,7].…”

Section: Awareness Of Epidural Labour Analgesia Service At the Delivery Unit Of The Tamale Teaching Hospitalmentioning

confidence: 93%

“…Labour analgesia is the most effective method for restoring normal uterine activity [8]. Relieving pain during childbirth decreases blood stress hormone release and thereby increase tissue perfusion in healthy parturient [7]. Multiple randomized controlled trials comparing epidural analgesia with other forms of labour pain management have demonstrated adequate maternal pain relief and higher maternal satisfaction among the epidural group [9].…”

Section: Awareness Of Epidural Labour Analgesia Service At the Delivery Unit Of The Tamale Teaching Hospitalmentioning

confidence: 99%

Investigating Determinants for Woman's Choice to Accept An Epidural for Labour Analgesia at The Delivery Unit of The Tamale Teaching Hospital

Winsum¹,

Kampo²,

Arredondo³

2021

J Clin Anesth Pain Manag

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Introduction:The epidural labour analgesia service at the delivery unit of the Tamale Teaching Hospital has recorded low patronage. Low patronage of epidural labour analgesia in poor resource Countries could partially be attributed to lack of awareness, limited resources or lack of equipment such as patient monitors, local anaesthetics or analgesics and overwhelming patient numbers. This study aimed to assess factors that influence epidural labour analgesia acceptance or refusal at the maternity unit of the Tamale Teaching Hospital.Methods: This prospective cross-sectional survey was carried out at the maternity unit of the Tamale Teaching Hospital. 540 parturients were recruited for this study. A structured questionnaire was administered to each recruited parturients after childbirth. The primary outcomes measured were awareness and factors that affected epidural labour analgesia acceptance. Results:The data showed that 525 (97.2 %) of the participants were aware of epidural labour analgesia, out of which 503 (93.1 %) refused to accept the epidural for labour analgesia. Age, educational background, cultural or religious beliefs, attitudes of midwives and the cost of the epidural labour analgesia service were observed to be some determinants of the epidural labour analgesia use at the delivery unit of the Tamale Teaching Hospital. Conclusion:Our survey echoes that a significant number of parturients at the delivery unit of the Tamale Teaching Hospital were well informed of the epidural labour analgesia service. Surprisingly, very few of them accepted to receive it for labour analgesia. We identified age, educational background, cultural or religious beliefs, cost of the epidural labour analgesia service and attitude of midwives to be some determinants for the epidural labour analgesia patronage.

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“…Despite the many advantages of epidural labour analgesia, it has not been fully accepted and is not routinely practised in health facilities in developing countries [6]. The low patronage of epidural labour analgesia services could partially be attributed to lack of awareness, limited resources or lack of equipment such as patient monitors, local anaesthetics or analgesics and overwhelming patient numbers [6,7].…”

Section: Introductionmentioning

confidence: 99%

Investigating determinants for woman's choice to accept an epidural for labour analgesia at the delivery unit of the Tamale Teaching Hospital.

Anabah,

Kampo,

Falagán

2024

Preprint

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Objective: This study aimed to assess factors that influence epidural labour analgesia acceptance or refusal at the maternity unit of the Tamale Teaching Hospital. Design: Prospective cross-sectional survey, Setting: This study was carried out at the maternity unit of the Tamale Teaching Hospital Population or Sampling: We recruited 540 parturients at the maternity unit of the Tamale Teaching Hospital. Methods: A structured questionnaire was administered to each recruited parturients after childbirth. Main Outcome Measures: The primary outcomes measured were awareness and factors that affected epidural labour analgesia acceptance at the delivery unit of the Tamale Teaching Hospital Results: The data showed that 525 (97.2 %) of the participants were aware of epidural labour analgesia, out of which 503 (93.1 %) refused to accept the epidural for labour analgesia. Age, educational background, cultural or religious beliefs, attitudes of midwives and the cost of the epidural labour analgesia service were observed to be some determinants of the epidural labour analgesia use at the delivery unit of the Tamale Teaching Hospital.

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A randomized clinical trial to compare small frequent boluses technique with that of traditional intermittent top-ups and continuous epidural infusion, for maintenance of epidural labour analgesia

Cited by 4 publications

References 26 publications

Comparative Evaluation of Haemodynamic Effects of Continuous Versus Intermittent Epidural Injections of Bupivacaine with Fentanyl for Major Gynaecological Surgeries

Comparative Evaluation of Haemodynamic Effects of Continuous Versus Intermittent Epidural Injections of Bupivacaine with Fentanyl for Major Gynaecological Surgeries

Investigating Determinants for Woman's Choice to Accept An Epidural for Labour Analgesia at The Delivery Unit of The Tamale Teaching Hospital

Investigating determinants for woman's choice to accept an epidural for labour analgesia at the delivery unit of the Tamale Teaching Hospital.

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