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Issue: No. 35 (2021)
Section: Article
Date Published: 25/01/2021
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Le , H. B., Nguyen , T. T., Huynh, N. K. T., & Nguyen , T. T. C. (2021). COMPARISON OF MATERNAL SATISFACTION BETWEEN BUPIVACAINE 0.0625% PATIENT CONTROLLED EPIDURAL ANALGESIA AND CONTINUOUS EPIDURAL INFUSION FOR LABOR PAIN. Cantho Journal of Medicine and Pharmacy, 35, 101-108. https://tapchi.ctump.edu.vn/index.php/ctump/article/view/934

COMPARISON OF MATERNAL SATISFACTION BETWEEN BUPIVACAINE 0.0625% PATIENT CONTROLLED EPIDURAL ANALGESIA AND CONTINUOUS EPIDURAL INFUSION FOR LABOR PAIN

Huu Binh Le 1, , Thi Thanh Nguyen 2, Nguyen Khanh Trang Huynh2, Thi Truc Chi Nguyen 3
1 Ho Chi Minh City University of Medicine and Pharmacy
2 Pham Ngoc Thach University of Medicine
3 Hoc Mon Regional Hospital

Main Article Content

Abstract

Background: Patient satisfaction is one of the major criteria for evaluating hospital quality. There are many studies on epidural analgesia for labor pain but often focus on evaluating epidural analgesia efficacy and side effects, and very few studies evaluating patient satisfaction with the methods of administration. Objectives: To compare patient satisfaction between Bupivacaine 0.0625% patient controlled epidural analgesia with continuous epidural infusion for labor pain. Materials and methods: Randomized controlled trial, single-blind. 105 parturients were randomized to receive patient-controlled epidural analgesia (PCEA) (background infusion 5ml/h, bolus dose 5ml, lock time 10 minute ) and 108 parturients to receive continuous epidural infusion (CEI) with the rate of 12ml /h. The epidural analgesia solution was bupivacaine  0.0625%  +  fentanyl 2mc/ml. Demographic data was recorded. After delivery, parturient completed a satisfaction questionnaire according to a five-item Likert score. Results: The satisfaction was high in the 2 groups of PCEA and CEI. There was no significant difference in the satisfaction of quality of analgesia (96.2% vs 94.4%); foot numbness (98% vs 94.4%), pruritus (85.7% vs. 81.5%), shivering (94.2% vs 96.3%), ability to push (97.2% vs. 94%); repeat the same technique in a future delivery (96.1% ves 92.6%). PCEA was significantly more satisfied than the CEI (P <0.05) about pain self-control (99.1% vs 9.8%) and the overall satisfaction (97, 1% vs 89.7%). Conclusion: Both methods have high maternal satisfaction, but the PCEA group has greater maternal satisfaction of overall satisfaction and pain self-control than CEI group.

Keywords

epidural anesthesia, labor analgesia, bupivacaine 0.0625%, patient satisfaction, patient-controlled epidural analgesia

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