Analgesia epidural a demanda. Estudio de las consecuencias sobre el parto

Abstract

ObjectiveTo study the effect of on-patient-request epidural analgesia in a hospital of Insalud Material And Method207 nuliparas with unique fetus at term who gave birth in 1997 and 198 that did it in 1999–2000. Groups compare themselves both to each other and separately the childbirths with epidural analgesia of both groups ResultsWe have not observed changes in the frequency of operative deliveries or on neonatal morbidity. There were differences in duration of labor, more use of oxytocin and maternal fever in the group of on-patient-request epidural analgesia. At the time of restricted use, the epidural analgesia was associated to prolonged labor, higher doses of oxytocin and greater use of fentanil. When using this analgesia on-request we have observed a prolongation of the second stage of labor and a greater number of women receiving oxytocin ConclusionsWe have not found the epidural analgesia is associated to important adverse effects on the evolution of childbirth, heightening the benefits of this technique