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Surgery and Trauma، جلد ۱، شماره ۱، صفحات ۱-۵
عنوان فارسی Comparison of Epidural versus Entonox for Labor Analgesia in Nulliparous Women
چکیده فارسی مقاله  Introduction: The aim of this study is to compare the efficacy of epidural versus entonox methods for labor analgesia in nulliparous women.  Methods: This randomized controlled trial was performed on 84 nulliparous women with - pregnancy admitted to Imam Reza Hospital in 10 May 2010- 10 May 2011.  They were randomly divided into two groups 42 women inhaled entonox in active phase at the beginning of each contraction, and for 42 cases, epidural catheter was inserted and analgesic substance was injected and it was increased adjusted with contraction progressing by bupivacaine combined with fentanyl. The rate of pain was measured with pain scores (minimum pain 0 and maximum pain 10).  Results: In epidural analgesia, pain score was lower in all stages of labor than entonox analgesia 42% of cases had no pain, while as in entonox group, pain has been decreased 4 scores in 7% of cases and there was no complete analgesia. Duration of different stages of labor was not statistically different between two groups (P=0.89). Cesarean rate was similar in two groups. First and five minute Apgar were not statistically different between two groups (P=0.87, P=0.75, respectively).  Conclusions: Epidural analgesia with more relief in labor pain is the desired method. This method doesn't cause more cesarean rate or prolonged labor duration. Although Entonox decreases labor pain in first stage, but doesn't affect on second stage and fetus Apgar.  
کلیدواژه‌های فارسی مقاله Entonox، Epidural analgesia، Labor pain
عنوان انگلیسی Comparison of Epidural versus Entonox for Labor Analgesia in Nulliparous Women
چکیده انگلیسی مقاله  Introduction: The aim of this study is to compare the efficacy of epidural versus entonox methods for labor analgesia in nulliparous women.  Methods: This randomized controlled trial was performed on 84 nulliparous women with - pregnancy admitted to Imam Reza Hospital in 10 May 2010- 10 May 2011.  They were randomly divided into two groups 42 women inhaled entonox in active phase at the beginning of each contraction, and for 42 cases, epidural catheter was inserted and analgesic substance was injected and it was increased adjusted with contraction progressing by bupivacaine combined with fentanyl. The rate of pain was measured with pain scores (minimum pain 0 and maximum pain 10).  Results: In epidural analgesia, pain score was lower in all stages of labor than entonox analgesia 42% of cases had no pain, while as in entonox group, pain has been decreased 4 scores in 7% of cases and there was no complete analgesia. Duration of different stages of labor was not statistically different between two groups (P=0.89). Cesarean rate was similar in two groups. First and five minute Apgar were not statistically different between two groups (P=0.87, P=0.75, respectively).  Conclusions: Epidural analgesia with more relief in labor pain is the desired method. This method doesn't cause more cesarean rate or prolonged labor duration. Although Entonox decreases labor pain in first stage, but doesn't affect on second stage and fetus Apgar.  
کلیدواژه‌های انگلیسی مقاله Entonox, Epidural analgesia, Labor pain
نویسندگان مقاله نیره خادم | nayereh khadem
department of obstetrics and gynecology, women’s health research center, imam reza hospital, mashhad university of medical sciences, mashhad, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

ناهید زیرک | nahid zirak
department of anesthesiology, imam reza hospital, mashhad university of medical sciences, mashhad, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

قاسم سلطانی | ghasem soltani
cardiac anesthesia research center, anesthesia department, faculty of medicine, mashhad university of medical sciences, mashhad, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

ناهید sahebdelfar | nahid sahebdelfar
department of obstetrics and gynecology, mashhad, iran


علیرضا سپهری شاملو | alireza sepehri shamloo
faculty of medicine, mashhad university of medical sciences, mashhad, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

سعید ابراهیم زاده | saeed ebrahimzadeh
health faculty, mashhad university of medical sciences, mashhad, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

نشانی اینترنتی http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-27-1&slc_lang=en&sid=en
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