DOI: https://doi.org/10.14710/jai.v0i0.63230

Effectivity of Walking Epidural Analgesia in Normal Labor to Reduce Labor Pain and Improve Neonatal Outcome

1Department of Anesthesiology, Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia

2Permata Hati Clinic, Kabupaten Bandung, Indonesia

3Department of Obstetric and Gynecology, Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia

4 Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia

5 Department of Obstetrics and Gynecology, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia

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Received: 19 Apr 2024; Revised: 21 Jun 2024; Accepted: 21 Jun 2024; Published: 24 Jun 2024.

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Abstract

Background: In Indonesia itself, only 15% of 2,700 labor women felt the pain was tolerable, meanwhile 85% said the pain was moderate until unbearable. Usage of epidural anaesthesia for pain relief in labor is common but controversies still persist about its effect and side effect on labor process. Neuraxial block especially epidural also not yet well known in Indonesia.

Objective: This research aims to study maternal visual analogue scale (VAS) score changes before and after walking epidural anesthesia (WELA) and fetal outcome after birth.

Methods: This research is an experimental design with one pre-test and post-test group. Data was taken from Unggul Karsa Medika Hospital and Permata Hati Clinic medical records from 2017 until 2022. Ethical approval was approved by Unggul Karsa Medika Hospital Ethical Committee (003/KEP-LIT/III/2023). After that all of 450 patients data was then analyzed by Wilcoxon with IBM® SPSS Statistic 26th with α=0.05.

Result: Statistical analysis shows there was significant decrease of pain severity with initial VAS 7.58 to 3.37 after WELA procedure (p 0.0001). APGAR scores of all the foetus were normal with no asphyxia present.

Conclusion: Our findings demonstrate the benefit of WELA for both of mother and fetus. was significantly decrease in VAS score during labor. Fetal outcome was also notably great after labour process and usage of epidural could decrease the risk of fetal acidemia and distress which reduce caesarean section rate. Usage of WELA in Indonesia could be encourage and recommended as an alternative to elective caesarean section.

 

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Keywords: APGAR score; labour; pain; VAS; WELA

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Section: Original Articles
Language : EN
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