Abstract
REVIEW QUESTION/OBJECTIVE In participants who are in active first and second stages of labor, what is the effect of intravenous patient-controlled analgesia with remifentanil on the level of maternal satisfaction and pain reduction from baseline compared to intravenous fentanyl? INCLUSION CRITERIA Types of participants This review will consider studies that include participants of 18 years and older who are either nulliparous or multiparous, who are of normal term, singleton gestation and deliver in an acute care setting or delivery center. Types of intervention(s)/phenomena of interest This review will consider studies that evaluate the use of intravenous remifentanil in comparison to intravenous fentanyl during first and second stages of labor. Types of outcomes This review will consider studies that include the following outcomes measures: level of maternal satisfaction based on subjective rating using a Likert scale or equivalent after delivery and pain score reduction from baseline at various points during labor assessed using a visual analogue scale.
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