Mozhgan Masoudi, Soheila Akbari,
Volume 12, Issue 2 (3-2011)
Abstract
The labor pain is a sever pain which is experienced by women .Fear of labor pain is one of the causes of elective caesarean section. Entonox is known as the most useful and the less dangerous method for mother and child. Using warm water bath- tub is useful to reduce labor pain, and relaxation of mother. The aim of this study was to compare effect of Entonox and warm water on labor pain in pregnant women referred to Khorramabad Assali hospital.
Materials and Methods: This controlled clinical trial study, carried out on 150 pregnant women in active phase of first stage of delivery selected by simple sampling including three groups of Entonox (first experimental group , 50 cases), warm water (second experimental group , 50 cases)and routine method (control, 50 cases).The pain score measured with Visual analog scale (VAS).Pulse oximetry was used to determine oxyhamoglobin saturation(SaO2)and heartbeat rate during these methods .
Results: The results showed that the mean of pain score in Entonox method was significantly lower than warm water method (p <0.001).Labor progress was higher in Entonox method than warm water method and this difference was significant(p=0.005).The means of mother’s pulse rate in response to pain was significantly lower in Entonox method than warm water method(p<0.001). The mean of mothers’ SaO2 in Entonox method was significantly higher than warm water method (p <0.001).
Conclusion: This study shows that Entonox has better effects for pain relief, labor progress, oxygenation of mother and child in comparison with warm water method, therefore we recommend Entonox method to reduce labor pain.
Azen Alavi , Sameyeh Karimi , Sogra Fallahi , Soheila Akbari , Amereh Alinejad ,
Volume 16, Issue 2 (9-2014)
Abstract
Background : The aim of this study was to compare maintenance therapy and continuous therapy of magnesium sulfate (MS) in the management of preterm labor.
Materials and Methods: In this single blind randomized control trial, 70 singleton women in 26 to 34 weeks of gestation (WG), were randomly assigned to receive 4gr MS in 200cc D/W 5% during 15 to 20 minutes either infusion therapy with 20 gr MS in 10 hours (group A) or maintenance therapy with 2gr/hr MS for 12 hours.(group B). Data of the participants were collected and analyzed using SPSS13.0, Chi-Square and T test. P value less than 0.05 was considered statistically significant.
Results: The presence of labor pain after 24 and 48 hours, 1 week, and in 34 WG was statistically lower in group B than A. But it was not statistically significant in 37 WG. Duration of pregnancy and Apgar score at 5 min were significantly higher in group B than A. While, NICU admission was higher in group A than B.
Conclusion: Maintenance therapy with 2 mg/hr MS for 12 hr is an effective therapeutic regiment for management of preterm labor pain, to stop the labor pain, which is recommend to treat preterm labor pain.
