Vajinal Doğum için Uygulanan Epidural Analjezinin Değerlendirilmesi: Bir Devlet Hastanesinin Retrospektif Analizi

Year 2024, Volume: 8 Issue: 3, 307 - 313, 30.12.2024

Keziban Bollucuoğlu , Bengü Gülhan Köksal

Abstract

Amaç: Epidural analjezi doğum ağrısı kontrolünde en çok uygulanan analjezi yöntemidir. Amacımız; epidural analjezinin anne-fetus ve
doğum eylemi üzerine etkisini araştırmaktır.
Gereç ve Yöntemler: 2017 yılında (Ocak- Aralık) arasında doğum için epidural analjezi uygulanan gebelerin dosyaları retrospektif olarak
incelendi. Gebelerin demografik verileri, hemodinamik parametreleri, doğum evrelerinin süreleri, sezeryana dönüş oranları, epidural öncesi
ve sonrası vizuel analog skala (VAS) değerleri, APGAR skoru, maternal ve fetal yan etkiler, gebelerin memnuniyeti değerlendirildi.
Bulgular: Ağrısız doğum analjezi protokolümüz ile VAS değerlerinin 2-3 olduğu , 153 gebeden sezaryana dönüş oranının %2 olduğu,
maternal yan etki olarak hipotansiyon % 3,9 oranında görüldüğü, gebe memnuniyet oranının ve tekrar epidural tercih etme oranının %85,6,
1. ve 5. dak. APGAR skorunun da 9-10 olduğu, olumsuz bir etkisi olmadığı görüldü.
Sonuç: Epidural analjezi; tecrübeli uygulayıcılarla kadın doğum doktoru ile işbirliği içerisinde multidisipliner yaklaşılması gereken bir
müdahaledir. Annenin yaşadığı ağrı ile beraber stresini de büyük oranda azaltarak doğumun konforunu da artıran bu yöntemi ağrısız vajinal
doğum için uygun tüm gebelere öneriyoruz.

Keywords

Ağrısız doğum, epidural analjezi, gebe memnuniyeti

Ethical Statement

Zonguldak bülent Ecevit Üniversitesi Girişimsel olmayan Etik kurul Başkalığınca 23/06/2021 toplantı tarıhlı ve 2021/12 toplantı karar numarsı ile etik krul ilkelerine uygunluğuna karar verilmiştir

Evaluation of Epidural Analgesia for Vaginal Delivery: A Retrospective Analysis of a State Hospital

Abstract

Aim: Epidural analgesia is the most commonly preferred analgesia method for labour pain management. Our purpose is to examine the
effects of epidural analgesia on the mother, fetus, and the labour process in this study.
Material and Methods: The files of pregnant women undergoing epidural analgesia for labour between January and December 2017
were examined retrospectively. Demographic data, hemodynamic parameters, duration of labour stages, rates of conversion to caesarean
section, visual analogue scale (VAS) scores before and after epidural, APGAR score, maternal and fetal side effects, and satisfaction of
pregnant women were evaluated.
Results: It was seen that VAS scores were 2-3 with our painless labor analgesia protocol, caesarean rate was 2% among 153 labourers, the
hypotension rate was 3.9% as a material side effect, the pregnancy satisfaction rate and the rate of requesting another epidural were 85.6%,
and the 1st- and 5th-minute APGAR scores were 9-10 without any adverse effects.
Conclusion: Epidural analgesia is a method that should be applied with a multi-disciplinary approach by experienced practitioners and
obstetricians. This method dramatically reduces both the pain and stress of the mother and increases labour comfort, and we recommend it
to all eligible pregnant women for a painless vaginal delivery.

Keywords

Epidural analgesia, painless delivery, pregnant satisfaction

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