Prevalence of Cesarean Section and Analysis of Neonatal Apgar Score and the Mean Time of Second Phase of Labor in Pregnant Women

Abstract

Introduction: The labor pain is probably the most severe pain a mother experiences in her lifetime and is usually severe and prolonged in women with pregnancy, Aim: To evaluate the effects of labor epidural and spinal analgesia on the incidence of cesarean section in painless delivery. Methods: This randomized clinical trial was conducted on pregnant women aged 37-42 weeks of pregnancy. Female candidates for painless labor were divided into two groups: Epidural Analgesia (EA) and Spinal Analgesia (SA). Patients in the labor epidural group underwent analgesia using marcaine and fentanyl and after fully assuring the normal hemodynamic status of the mother and fetal hearth rate (FHR), labor spinal analgesia was used for other group. Results: The average age of mothers was 27.5 years, their mean gestational age was 39 weeks and their mean weight was determined to be 72 kg. Frequency of cesarean delivery in mothers was found as 12.9%. Significantly, the incidence of cesarean section in the labor epidural analgesia group was higher than the labor spinal analgesia group (P = 0.02). In addition, the mean second phase of delivery in the labor epidural analgesia group was significantly higher than the labor spinal analgesia group (P = 0.03). There was no significant in 1st and 5th min Apgar scores between groups in infants (8.6 and 9.6, respectively). Conclusion: Labor epidural analgesia and labor spinal analgesia result in a significant reduction in pain due to normal delivery. Due to the similarity of Apgar and arterial blood gas (ABG) in neonates, labor epidural analgesia may serve as an alternative in childbirth delivery.

The Effect of Early Mobilization Implementation on the Healing of Sectio Caesarea Operation Wounds at Harapan Insan Sendawar Hospital

“…Dalam persalinan tanpa rasa sakit, tujuan seperti penurunan tingkat operasi caesar, peningkatan kecenderungan untuk persalinan normal, relaksasi mental selama persalinan yang sulit diikuti. Dalam hal ini, persalinan tanpa rasa sakit dinegara kita dapat menjadi alternatif yang baik untuk operasi Caesar yang tidak professional (Shokrpour, Reza, Sharifi, & Kamali, 2019).…”

Risk Factors Associated with Somato-Visceral Pain Investigation, in Scheduled Cesarean Section under Epidural Anesthesia with Lidocaine 2% and Adrenaline

“…Cesarean section (CS) is an obstetric surgery normally performed when vaginal delivery may compromise the well-being of mother and/or neonate [1]. Its prevalence went beyond the limit (10-15%) recommended by World Health Organization (WHO) [2], and reached 32% [3,4], even 46%, [5]. Prevalence exacerbation is due to the performed CS upon request, of some mothers whose reasons include pain fear of normal vaginal delivery.…”

Incidence of Hypotension and Associated-risk Factors in Epidural Anesthesia With 2% Lidocaine and Epinephrine During Elective Cesarean Section, Efficacy and Safety Assessment

“…Recent researches showed that more than 32% [35% in USA [1] ;32,5 in Ethiopia, Africa [2] , 32% in Thailand [3] of women, give birth under cesarean section [CS]. The trend is increasing [1] and even reached 46% in China according to the results of a study published in 2016 [4] . Many cesarean deliveries [CD] are performed under neuraxial anesthesia using local anesthetics [LAs] [2] .…”