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Vol. 44. Issue 12.
Pages 544-551 (January 2001)
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Vol. 44. Issue 12.
Pages 544-551 (January 2001)
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Analgesia epidural a demanda. Estudio de las consecuencias sobre el parto
On-patient-request epidural analgesia. A study about the consequences on childbirth
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R. Moreno
Corresponding author
musandizaga@hsd.es

Correspondencia: Hospital Son Dureta. Servicio de Obstetricia y Ginecología.Andrea Doria, 55. 07014 Palma de Mallorca
, M. González, V. Bonet, M. Usandizaga
Servicio de Obstetricia y Ginecología. Hospital Son Dureta.Palma de Mallorca
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Resumen
Objetivo

Estudiar el efecto de la introducción en un hospital del Insalud de la analgesia epidural a demanda

Material Y Métodos

Un total de 207 nulíparas con feto único a término que parieron en 1997, y 198 que lo hicieron en 1999-2000. Se comparan los dos grupos y, aisladamente, los partos con epidural de ambos grupos

Resultados

No hemos observado cambios en la frecuencia de partos operatorios o en la morbilidad neonatal, aunque se ha prolongado significativamente el parto con aumento del uso de oxitocina y de fiebre intraparto en el grupo más reciente. Las epidurales restringidas se asociaban a un parto más prolongado, más dosis de oxitocina y mayor empleo de fentanilo. Con la epidural a demanda hemos observado una prolongación del período expulsivo y una mayor frecuencia de mujeres que reciben oxitocina

Conclusiones

No hemos encontrado que la analgesia epidural se asocie a efectos adversos importantes sobre la evolución de los partos, lo que realza aún más los beneficios de esta técnica

Palabras clave:
Analgesia epidural
Cesárea
Parto instrumental
Oxitocina
Morbilidad neonatal
Abstract
Objective

To study the effect of on-patient-request epidural analgesia in a hospital of Insalud

Material And Method

207 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

Results

We 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

Conclusions

We have not found the epidural analgesia is associated to important adverse effects on the evolution of childbirth, heightening the benefits of this technique

Keywords:
Epidural analgesia
Cesarean delivery
Instrumental delivery
Oxytocin
Neonatal morbidity
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Copyright © 2001. Sociedad Española de Ginecología y Obstetricia
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