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, 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

View all affiliations
Received: 19 Apr 2024; Revised: 21 Jun 2024; Accepted: 21 Jun 2024; Available online: 24 Jun 2024; Published: 31 Jul 2024.
Open Access Copyright 2024 JAI (Jurnal Anestesiologi Indonesia)

Citation Format:
Cover Image
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.

Note: This article has supplementary file(s).

Fulltext View|Download |  Research Instrument
Cover Letter
Subject
Type Research Instrument
  Download (63KB)    Indexing metadata
 Research Instrument
Ethical Approval
Subject
Type Research Instrument
  Download (196KB)    Indexing metadata
 common.other
Copyright Transfer Agreement
Subject
Type Other
  Download (216KB)    Indexing metadata
 common.other
Graphical Abstract
Subject
Type Other
  View (4MB)    Indexing metadata
Keywords: APGAR score; labour; pain; VAS; WELA

Article Metrics:

Article Info
Section: Original Articles
Language : EN
Recent articles
Correlation Between Red Cell Distribution Width (RDW) and Sequential Organ Failure Assessment (SOFA) Score in Sepsis Patients The Relationship Between Interleukin-1β Levels and Visual Analog Scale Value in Preeclampsia Patients Who Received Perioperative C-Sectional Parecoxib With Spinal Anesthesia Effectivity of Walking Epidural Analgesia in Normal Labor to Reduce Labor Pain and Improve Neonatal Outcome ICU Management of Post-Craniotomy Patients with Schwannoma Vestibular Tumor Removal Peribulbar Block for Cataract Surgery in Patient with Nystagmus and Chronic Kidney Disease Anesthesia Management for Scoliosis Correction Surgery at the Level of Thoracic Vertebra 4 - Lumbar Vertebra 3 with Intraoperative Neurophysiological Monitoring More recent articles
Most cited articles
Patofisiologi Penyakit Jantung Koroner Midazolam Intravena Dosis Rendah Tidak Mempengaruhi Nitric Oxide Intraperitoneal Mencit Balb/C Yang Terpapar Lipopolisakarida More cited articles
  1. Waurick K, Waurick R. [History and Technique of Epidural Anaesthesia]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2015;50(7-8):476-82; quiz 83
  2. Cunningham FG, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM. Physiology of Labor. Williams Obstetrics, 26e. New York, NY: McGraw Hill; 2022
  3. Labor S, Maguire S. The Pain of Labour. Rev Pain. 2008;2(2):15-9
  4. Raja SN, Carr DB, Cohen M, Finnerup MB, Flor H, Gibson S, et al. The Revised IASP definition of pain: concepts, challenges and compromises. Pain. 2020;161(9):1976-82
  5. Najafi-Sharjabad F, Keshavarz P, Moradian Z. Survey on the prevalence and influencing factors for choosing normal vaginal delivery among pregnant women in Bushehr city, 2015. Community Health Journal. 2018;11(1):20-9
  6. Sri Rejeki UN, Retno Krestanti RN Tingkat Nyeri Pinggang Kala I Persalinan MElalui Teknik Back Effluerage dan Counter Pressure. Jurnal Keperawatan Maternitas. 2013;1(2)
  7. Halliday L, Nelson SM, Kearns RJ. Epidural analgesia in labor: A narrative review. International Journal of Gynecology & Obstetrics. 2022;159(2):356-64
  8. McGrady E, Litchfield K. Epidural analgesia in labour. Continuing Education in Anaesthesia Critical Care & Pain. 2004;4(4):114-7
  9. Cunningham FG, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM. Obstetrical Analgesia and Anesthesia. Williams Obstetrics, 26e. New York, NY: McGraw Hill; 2022
  10. Permana I, Wenang S, Dewi PEN. Lumbar Epidural Analgesia as a New Paradigm: Views of Women in Rural and Urban Community in Yogyakarta. Advances in Health Science Research. 2021;33:273-75
  11. Pietrzak J, Mędrzycka-Dąbrowska W, Tomaszek L, Grzybowska ME. A Cross-Sectional Survey of Labor Pain Control and Women's Satisfaction. Int J Environ Res Public Health. 2022;19(3)
  12. Donnelly MJ, Enneking FK. Raj’s Practical Management of Pain, 4th ed. Anesthesia & Analgesia. 2008;107(4):1450-1
  13. Lowe NK. The Pain and Discomfort of Labor and Birth. Journal of Obstetric, Gynecologic & Neonatal Nursing. 1996;25(1):82-92
  14. Wilson MJ, Cooper G, MacArthur C, Shennan A. Randomized controlled trial comparing traditional with two "mobile" epidural techniques: anesthetic and analgesic efficacy. Anesthesiology. 2002;97(6):1567-75
  15. de Verastegui-Martin M, de Paz-Fresneda A, Jimenez-Barbero JA, Jimenez-Ruiz I, Meseguer CB. Influence of laboring people’s mobility and positional changes on birth outcomes in low-dose epidural analgesia labor: A systematic review with meta-analysis. J Midwifery Women’s Health. 2023;68:84-98
  16. Dziadzko M, Desseauve D, Péneaud A, Bouvet L, Robert T, Fradet L. The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia. Sensors. 2024;24:1904-12
  17. Hill JB, Alexander JM, Sharma SK, McIntire DD, Leveno KJ. A comparison of the effects of epidural and meperidine analgesia during labor on fetal heart rate. Obstetrics and gynecology. 2003;102(2):333-7
  18. Reynolds F, Sharma SK, Seed PT. Analgesia in labour and fetal acid-base balance: a meta-analysis comparing epidural with systemic opioid analgesia. Bjog. 2002;109(12):1344-53

Last update:

No citation recorded.

Last update: 2024-11-19 22:19:20

No citation recorded.