Evaluation of Maternal and Fetal Outcomes in Mothers with Spinal Analgesia in Comparison with the Control Group

Lida  Mozafarian; Maryam Razavi; Rezvaneh  Mashhadi; Alireza  Dashipour

doi:10.18502/jzms.v4i3.7825

Lida Mozafarian Department of Obstetrics and Gynecology, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
Maryam Razavi Health Promotion Research Center, Department of Obstetrics and Gynecology, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
Rezvaneh Mashhadi Department of Anesthesia, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
Alireza Dashipour Department of Statistics, School of Medicine, Zahedan University of Medical Science, Zahedan, Iran

DOI: https://doi.org/10.18502/jzms.v4i3.7825

Keywords: Spinal analgesia, Painless labor, Sufentalil

Abstract

Background: Proper reduction of labor pain has always been one of the most important goals of medicine and the patient's request for labor pain relief is a sufficient necessity for the use of pain relief methods. The aim of this study was to evaluate the maternal and fetal outcomes of mothers who underwent spinal analgesia in comparison with the control group in mothers who referred to the maternity ward of Ali Ibn Abitaleb Hospital in Zahedan in 2020.

Methods: The present study was a case-control study that was performed on
200 pregnant women in 1398. Pregnant women whose criteria for admission and selection of an anesthesiologist were divided into painless (spinal) delivery groups. The control group was selected by simple random sampling from among those who met the inclusion criteria but did not want to have a painless delivery. The two groups were compared using ANOVA, Kruskal-Wallis, Linear regression, Chi-Square and Fisher's exact tests. A significance level of 0.05 was considered.

Results: The length of the first and second stages of labor in the non-intervention group was significantly shorter than the painless groups. In the analgesic method used, the Apgar score of the infant had no negative effects on the type of delivery and did not lead to complications in the mother in the postpartum stage.

Conclusion: Findings from this study showed that spinal analgesia had no negative effects on maternal and neonatal outcomes.