masterThesis
Eficacia del bloqueo pudendo bilateral para disminuir el dolor en el periodo expulsivo del trabajo de parto, Hospital Vicente Corral Moscoso, Cuenca 2014
Fecha
2016Autor
Sayay Briones, David Alfredo
Institución
Resumen
Introduction: Labor painisperhapsthe most severepainthatwomenmustfaceduringtheirlife. Forthemanagementof labor pain are availablefor more thanhalf a century, several viable treatmentalternatives. However, many maternal, particularlythosefromlowsocioeconomicstratasufferunnecessarily.
Methodology: A randomized experimental clinicalstudy. Twogroupswere formed: the interventiongroupwasmade up 106 gilts, whichunderwent bilateral pudendal block; and the control group of 106 nulliparoustowhich no underwentpudendal block, a total of 212 patients. Painintensityby visual analog visual scale, the time duration of thesecond, and sideeffects and maternal and fetal complicationswereanalyzed.
Results: Thegroupswere comparable in age and gestationalage of thepatients. Patientsreceiving bilateral pudendalnerve block hadonaveragelowerintensity of painduringchildbirth and theaverage time of thesecondstage (12.43 min.) Waslowercomparedwith control patients (45.9), value p <0.05. No adverse effects in thetreatmentgroupswereobserved. The fetal heartrate and minute Apgar in thefifth minute and neonatal lifewas normal, and comparable withnewborn maternal control group.
Conclusions: Thepudendalnerve block decreasestheintensity of pain, shortensthesecondstage, and no maternal and fetal complications