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KMID : 0928320080080020088
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Korean Journal of Health Promotion and Disease Prevention
2008 Volume.8 No. 2 p.88 ~ p.95
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The Study on the effects of Epidural Analgesia on Mothers and their Newborns
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Park Ok-Sun
Han Sang-Sook
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Abstract
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Background: Owing to development of the obstetrical anesthesia, the epidural analgesia has been widely operated, relieving mothers of their delivery pain much, but the controversies surrounding safety of the epidural analgesia still remain. In such a circumstance, this study aimed to examine the effects of epidural analgesia on mothers and their newborns during progresses of labor.
Method: The researchers sampled 243 expectant mothers hospitalized at a women’s special hospital for the normal vaginal delivery and thus, classified them into the epidural anesthesia group (n=143, 90 primiparas and 53 multiparas) and the nonanesthesia group (n=100, 52 primiparas and 48 multiparas) and thereby, comparatively t-tested the effects of epidural analgesia on mothers and their newborns by progress of labor.
Results: The primary and secondary progress of labor was significantly longer only in the epidural anesthesia primipara group, compared with the non-anesthesia group. Both epidural anesthesia primipara group and multipara group used the oxytocin significantly more frequently than their counterpart non-anesthesia groups. Both epidural anesthesia primipara group and multipara group mothers’ satisfaction with delivery methods did not significantly between two groups. The Apgar score measured 1 minute and 5 minutes after delivery of newborns was significantly lower in the epidural
anesthesia groups regardless of whether they were primiparas or multiparas. Newborns’ meconium color was related
with the epidural analgesia only for primiparas.
Conclusions: As a result of this study, it was found that the epidural analgesia had more effects on primiparas’ progresses of labor and their newborns’ meconium than multiparas’, and that it had effects on newborns’ Apgar scores for both primipara and multipara groups. Hence, it is deemed required of nurses to positively manage the progresses of labor for mothers’
and their newborns’ safety when the epidural analgesia is applied.
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KEYWORD
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Epidural, Analgesia, Labor, Mothers, Nerborns
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