Assessment of the Effect of Epidural versus Spinal Analgesia on Labor Length and Maternal Satisfaction

Comparision of the Effect of Epidural versus Spinal Analgesia on Labor Length and Maternal Satisfaction

This study was designed as a double-blind randomized clinical trial with a total sample size of 132 patients (88 people in Epidural and 44 people in Spinal group).

This study will be performed in Arash Women's Comprehensive Hospital. After the onset of active labor, the severity of cervical dilatation and the suitability of the pelvis for vaginal delivery will be evaluated by a gynecologist. The patient will be evaluated for CVS, RS, and the baseline heart rate, BP, RR, will be recorded in a pre-designed checklist. An intravenous line will be taken from the non-dominant hand. Ringer's lactate serum in the amount of 500 to 1000 ml is recommended as a preload. All the tools for managing the airways of the baby will be ready to run the block. Patients were randomly assigned to two groups A, or epidural analgesia with bupivacaine 0.125% at 16 cc and fentanyl 10 mg, and group B ,divide spinal analgesia with 0.5% bupiracaine into 2.5 mg or 0.5 cc with 10 mg fentanyl. Epidural and spinal anesthesia will be performed by an anesthesiologist. The variables will then be collected in a pre-made checklist among patients

All women who are aged 18 to 35 years will be included in the active phase of the first phase of labor and 4-5 cm dilatation and have no contraindication for anesthesia.

Group A, or epidural analgesia with bupivacaine 0.125% 16 cc and fentanyl 10 mg Group B, spinal analgesia with bupiracaine 0.5% at 2.5 mg or 0.5 cc with 10 mg fentanyl

Labor Duration; Mother's Satisfaction

Changes in sample size due to the lack of eligible and available participants for inclusion in the spinal anesthesia group: According to the consultation with the epidemiologist of the research group, a total of 132 people including 88 people in the epidural group and 44 people in the spinal group were considered in this study.

The epidemiologist will assign the patient into two groups using the Stata software and the block randomization method. The size of the blocks will be six.

Participants are unaware of the type of analgesia that is performed for them (Epidural or Spinal). The person responsible for collecting the relevant data and completing the form is unaware of the type of analgesia in patients. The anesthesiologists who perform the analgesia and the clinical caregivers of the participants know the type of analgesia.