Pregnant women giving birth naturally.
Conditions
Interventions
Intervention 1: Control group: In a group, combined spinal epidural analgesia (CSE) is performed in the following way: CSE is performed in stage I, in the first step, spinal analgesia is performed, in
Sponsors
Karaj University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: 37 weeks to 40 weeks pregnant women in normal labor vertex position
Exclusion criteria
Exclusion criteria: Non-vortex position Pregnant women's inability to maintain immobility during work (for example, Parkinson's disease) Coagulation disorders and homeostasis defects Increased intracranial pressure for any reason (space-occupying lesions) Local infection of the injection site and bacteremia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Paresthesia. Timepoint: 0 minutes, 60 minutes, 12 hours, 24 hours. Method of measurement: paresthesia ? (After the analgesia intervention, it is only important for us whether the person experiences paresthesia at the mentioned times or not, the amount of paresthesia that is low or high has no value for us in this study, for this reason, the person is only asked that Does it have paresthesia or not?.;Urinary retention. Timepoint: 12 hours, 24 hours. Method of measurement: Ask the person ? (After the analgesia intervention, it is only important for us if the person has urinary retention at the mentioned times or not, the amount of urinary retention that is low or high has no value for us in this study, that is why we only ask the person whether he has urinary retention or not).;Bishop Score. Timepoint: 0 min (immediately after the analgesia intervention). Method of measurement: Bishop's score is determined by examining five characteristics: dilatation, effacement, descent, location of the cervix and consistency of the cervix based on the scoring system of the Bishop Score table. The scoring is calculated and recorded by the researcher in the laber.;Length of the second stage of labor. Timepoint: Starting from the complete dilatation of the cervix and continuing until the delivery of the baby, the analgesia intervention is performed before the complete dilatation of the cervix. Method of measurement: We take time with the clock.;The amount of pain during childbirth is independent. Timepoint: 0-5-10-15-20-30-45-60-90-120 min. Method of measurement: The intensity of the patient's pain during labor is measured by the numerical rating pain scale.;Type of delivery (natural without tools / natural with the help of tools (vacuum) / ending in caesarean section). Timepoint: Time of delivery. Method of measurement: Description of the operation by the surgeon.;Headache. Timepoint: 0 minutes, 12 hours, 24 hours. Method of measurement: Ask the person ? (After the analgesia interven | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohammad Hossein Delshad
Karaj University of Medical Sciences
Outcome results
None listed