1/1/2024 0 Comments Epidural site pain years later![]() ![]() In 2016, a prospective continuous survey was conducted at the Center of Obstetrics and Gynecology of Vilnius University Hospital Santaros Klinikos. The aim of this survey was to assess the influence of epidural analgesia on post-partum back pain in post-partum women. Taking into account that the initial studies were retrospective, however, the findings presented by prospective studies did not reveal the relationship between labor epidural analgesia and long-term post-partum back pain. Previous studies have suggested that labor epidural analgesia might be associated with an increased incidence of back pain in the post-partum period. The data obtained from the available literature on epidural analgesia during delivery are still controversial. ĭespite the fact that many scholars refer to epidural anesthesia as a gold standard for pain control in obstetrics, the most frequent concern of our patients receiving epidural analgesia is post-partum back pain. Non-medical pain relief methods or intravenous opioid-analgesics can provide an alternative in situations where regional analgesia is contraindicated or if less invasive methods are preferred by the woman or doctors. Epidural analgesia is an effective and widely used treatment for labor pain. The technique selected from a wide range of available techniques is aimed to relieve pain and depends on the mode of delivery, personal choice, and doctor’s recommendations. Labor is among the most painful experiences in a woman’s life, therefore, management of childbirth pain is a crucial moment not only in providing women in labor with more comfort, but also in relieving their stress and suffering. The labor pain relief technique did not trigger the increased risk of back pain in the early post-partum period and six months after delivery. The correlation between complaints of back pain six months after delivery and the type of anesthesia applied was not statistically significant ( p = 0.654). Six months later, the prevalence of back pain was found in 31.65% of women belonging to the epidural analgesia group, in 28.74% of women with intravenous anesthesia, and in 23.91% of women without anesthesia. The correlation between post-partum back pain and the type of anesthesia was not statistically significant ( p = 0.907). The prevalence of post-partum back pain was observed in 24 (30.38%) women of the epidural analgesia group, in 24 (27.58%) subjects of the intravenous anesthesia group, and in 14 (30.43%) women attributed to the group of subjects without anesthesia. Seventy-nine (37.26%) women received epidural analgesia, 87 (41.04%) intravenous drugs, and 46 (21.7%) women gave birth without anesthesia. ![]() The statistical analysis of the data was conducted using SPSS ® Results. The response rate was 70.66%, a total of 212 cases were included in the statistical analysis. Six months later, the women were surveyed again. Materials and Methods: The questionnaire was completed by post-partum women during the first days after delivery. Background and Objectives: The aim of this survey was to assess the impact of epidural analgesia on post-partum back pain in post-partum women. ![]()
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