Eficacia del bloqueo pudendo bilateral para disminuir el dolor en el periodo expulsivo del trabajo de parto, Hospital Vicente Corral Moscoso, Cuenca 2014

Abstract

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