Journal of Medicine and Life Science

  • 제15권2호
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  • Pages.95-100
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  • 2018
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  • 1738-1010(pISSN)
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  • 2671-4922(eISSN)
제주대학교 의과학연구소 (Institute for Medical Science)
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경막외 진통은 비경막외 진통에 비해 초산부의 분만을 지연시키는가?: 후향성 관찰 연구

Does epidural analgesia delay the vaginal delivery of nulliparous women compared with non-epidural analgesia?: Retrospective observational study

  • 장소영 (제주대학교 의학전문대학원) ;
  • 이애령 (제주대학교 의학전문대학원 마취통증의학교실) ;
  • 윤소희 (제주대학교 의학전문대학원 마취통증의학교실) ;
  • 최윤숙 (제주대학교 의학전문대학원 마취통증의학교실) ;
  • 박종국 (제주대학교 의학전문대학원 마취통증의학교실) ;
  • 조우진 (제주대학교병원 마취통증의학과)
  • Jang, So Young (Medical course, Jeju National University School of Medicine) ;
  • Lee, Ae Ryoung (Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine) ;
  • Yun, So-hui (Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine) ;
  • Choi, Yun Suk (Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine) ;
  • Park, Jong Cook (Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine) ;
  • Cho, Woo Jin (Department of Anesthesiology and Pain Medicine, Jeju National University Hospital)
  • 투고 : 2018.11.12
  • 심사 : 2018.12.13
  • 발행 : 2018.12.31
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초록

We conduct this study to compare the difference in duration of labor in nulliparous women received epidural analgesia or non-epidural analgesia for labor pain. This retrospective, observational study based on the review of the medical records from February 2014 to July 2017. Epidural analgesia was initiated with a 10 mL epidural bolus of 1% lidocaine and was maintained with a 0.1% mixture of ropivacaine with fentanyl. Non-epidural analgesia was initiated with pethidine 12.5 mg bolus, followed by additional boluses as needed. The primary outcome was the duration of the labor. 149 healthy nulliparous women at term pregnancies with no evidence of fetal distress were enrolled in this study. 92 women received non-epidural analgesia (Group NE) and 57 women received epidural analgesia (Group E). There were no significant differences between the two groups in maternal demographic characteristics. Using a Kaplan-Meier survival analysis, there was no significant difference in the overall duration of the labor(P=0.233). The duration of the first stage of labor was $187.6{\pm}167.3min$ in Group NE, $248.6{\pm}168.7min$ in Group E (Mean${\pm}$SD, P=0.032). The duration of the second stage of labor was $67.1{\pm}57.8min$ in Group NE, $64.1{\pm}47.5min$ in Group E (Mean${\pm}$SD, P=0.693). Epidural analgesia delayed the first stage of labor in this study. But there were no significant differences between the two groups in the duration of the second stage and the total duration of labor.

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