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2006, Number 2

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Rev Fac Med UNAM 2006; 49 (2)

Preliminary results of obstetrical peridural analgesics with or without phentanyl

Bracho RRL, Estupiñán RJ, Labrada PAA, Felix BGE

Language: Spanish
References: 11
Page: 54-57
PDF size: 49.25 Kb.


ABSTRACT

Objective: To compare epidural obstetric analgesia using Bupivacaine with or without Phentanyl, measuring the effect and the repercussion upon the mother and the product. Methods: A prospective, transverse, comparative, double blind and experimental study of 32 patients with term, single pregnancies in the first stage of labor was undertaken. Patients randomly entered groups: “A” (n= 16) Bupivacaine (3.75 mg) with Phentanyl (100 µg) or “B” (n= 16) Bupivacaine (12.5 mg). The variables studied were: a) the mother basal and postanalgesia condition, and assessment of pain by Visual Analogue Scale Score; b) the products Apgar and Sivlerman scores, and average oxygen saturation. The mean measures of each variable between both groups were analyzed using χ2. Results: Group “A” had less hemodynamic repercussion upon the patient, with better analgesia, and the baby´s postanalgesic conditions were superior to those of group “B”. Conclusion: Better-quality analgesia, with improved maternal and neonatal conditions were achieved using Bupivacaine with phentanyl. Definitive results will require further study with a larger sample, to determine the existence of low incidence adverse effects.


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