COMPARISON OF THE EFFECTIVENESS OF EPIDURAL AND SPINAL ANALGESIA IN FIRST PARTURIENT WOMEN
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/1443 |
Resumo: | The aim of this study is to comprehensively compare the efficacy of epidural and spinal analgesia in relieving pain during labor in primiparous women. Methodology: To achieve the proposed objective, we conducted a systematic literature review, consulting electronic databases such as PubMed, Scopus, and Web of Science. A combination of search terms was used. Only comparative studies, such as randomized controlled trials and cohort studies, that directly investigated the efficacy of epidural versus spinal analgesia in primiparous women were included. The methodological quality of the selected studies was assessed following specific guidelines and predefined criteria. Results: After a thorough analysis of the included studies, we observed that both epidural and spinal analgesia were effective in relieving pain during labor in primiparous women. However, the results indicated that epidural analgesia may provide more complete and prolonged pain relief, while spinal analgesia tends to have a quicker onset of action. Additionally, both techniques were associated with acceptable rates of complications and adverse effects, although some differences were observed regarding safety profiles. Conclusion: Based on the results obtained, we conclude that both epidural and spinal analgesia are effective options for pain relief during labor in primiparous women. The choice between these techniques should be individualized, taking into consideration patient preferences, progression of labor, and specific characteristics of each technique. A detailed discussion between the patient and the medical team is essential to determine the best analgesic approach for each case. |
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COMPARISON OF THE EFFECTIVENESS OF EPIDURAL AND SPINAL ANALGESIA IN FIRST PARTURIENT WOMENCOMPARAÇÃO DA EFICÁCIA DA ANALGESIA EPIDURAL E RAQUIDIANA EM PARTURIENTES PRIMÍPARASanalgesia epidural, analgesia raquidiana, parturientes primíparas, trabalho de parto, dor, eficácia.epidural analgesia, spinal analgesia, primiparous women, labor, pain, efficacy.The aim of this study is to comprehensively compare the efficacy of epidural and spinal analgesia in relieving pain during labor in primiparous women. Methodology: To achieve the proposed objective, we conducted a systematic literature review, consulting electronic databases such as PubMed, Scopus, and Web of Science. A combination of search terms was used. Only comparative studies, such as randomized controlled trials and cohort studies, that directly investigated the efficacy of epidural versus spinal analgesia in primiparous women were included. The methodological quality of the selected studies was assessed following specific guidelines and predefined criteria. Results: After a thorough analysis of the included studies, we observed that both epidural and spinal analgesia were effective in relieving pain during labor in primiparous women. However, the results indicated that epidural analgesia may provide more complete and prolonged pain relief, while spinal analgesia tends to have a quicker onset of action. Additionally, both techniques were associated with acceptable rates of complications and adverse effects, although some differences were observed regarding safety profiles. Conclusion: Based on the results obtained, we conclude that both epidural and spinal analgesia are effective options for pain relief during labor in primiparous women. The choice between these techniques should be individualized, taking into consideration patient preferences, progression of labor, and specific characteristics of each technique. A detailed discussion between the patient and the medical team is essential to determine the best analgesic approach for each case.O objetivo deste estudo é comparar de maneira abrangente a eficácia da analgesia epidural e raquidiana no alívio da dor durante o trabalho de parto em parturientes primíparas. Metodologia: Para atingir o objetivo proposto, realizamos uma revisão sistemática da literatura, consultando bases de dados eletrônicas, como PubMed, Scopus e Web of Science. Utilizou-se uma combinação de termos de busca. Foram incluídos apenas estudos comparativos, como ensaios clínicos randomizados e estudos de coorte, que investigaram diretamente a eficácia da analgesia epidural versus raquidiana em parturientes primíparas. A qualidade metodológica dos estudos selecionados foi avaliada seguindo diretrizes específicas e critérios predefinidos. Resultados: Após uma análise minuciosa dos estudos incluídos, observamos que tanto a analgesia epidural quanto a analgesia raquidiana demonstraram ser eficazes no alívio da dor durante o trabalho de parto em parturientes primíparas. No entanto, os resultados indicaram que a analgesia epidural pode proporcionar um alívio mais completo e prolongado da dor, enquanto a analgesia raquidiana tende a ter um início mais rápido de ação. Além disso, ambas as técnicas foram associadas a taxas aceitáveis de complicações e efeitos adversos, embora algumas diferenças tenham sido observadas em relação aos perfis de segurança. Conclusão: Com base nos resultados obtidos, concluímos que tanto a analgesia epidural quanto a raquidiana são opções eficazes de alívio da dor durante o trabalho de parto em parturientes primíparas. A escolha entre essas técnicas deve ser individualizada, levando em consideração as preferências da paciente, a progressão do trabalho de parto e as características específicas de cada técnica. É fundamental uma discussão detalhada entre a paciente e a equipe médica para determinar a melhor abordagem analgésica para cada caso.Specialized Dentistry Group2024-02-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/144310.36557/2674-8169.2024v6n2p830-847Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 2 (2024): BJIHS QUALIS B3; 830-847Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 2 (2024): BJIHS QUALIS B3; 830-847Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 2 (2024): BJIHS QUALIS B3; 830-8472674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1443/1620Copyright (c) 2024 Rômulo Henrique da Silva Cardoso , Joyce Araújo Ribeiro coelho , Solange Mendes Vieira , Victoria Wollf Beirith , João Pedro Libório Neiva Eulálio, Kin Alexia da Rocha kudo , Lucas Andrade Fidalgo Cunha , Darlenne Galdino Camilo , Brena Suanne Carvalho Fernandes , Milena Villela Martins , Carolina de Castro Carvalho , Ingrid Paloma machado Vieira , Mariana Delgado Santos Buarque , Thiago Webster Fernandes Farias, Pedro Victor Alves Castro, Mateus ribeiro Vasconcelos Rezendehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCardoso , Rômulo Henrique da Silvacoelho , Joyce Araújo RibeiroVieira , Solange Mendes Beirith , Victoria WollfEulálio, João Pedro Libório Neiva kudo , Kin Alexia da RochaCunha , Lucas Andrade FidalgoCamilo , Darlenne GaldinoFernandes , Brena Suanne CarvalhoMartins , Milena VillelaCarvalho , Carolina de Castro Vieira , Ingrid Paloma machadoBuarque , Mariana Delgado SantosFarias, Thiago Webster FernandesCastro, Pedro Victor AlvesRezende, Mateus ribeiro Vasconcelos2024-02-08T21:20:28Zoai:ojs.bjihs.emnuvens.com.br:article/1443Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2024-02-08T21:20:28Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
COMPARISON OF THE EFFECTIVENESS OF EPIDURAL AND SPINAL ANALGESIA IN FIRST PARTURIENT WOMEN COMPARAÇÃO DA EFICÁCIA DA ANALGESIA EPIDURAL E RAQUIDIANA EM PARTURIENTES PRIMÍPARAS |
title |
COMPARISON OF THE EFFECTIVENESS OF EPIDURAL AND SPINAL ANALGESIA IN FIRST PARTURIENT WOMEN |
spellingShingle |
COMPARISON OF THE EFFECTIVENESS OF EPIDURAL AND SPINAL ANALGESIA IN FIRST PARTURIENT WOMEN Cardoso , Rômulo Henrique da Silva analgesia epidural, analgesia raquidiana, parturientes primíparas, trabalho de parto, dor, eficácia. epidural analgesia, spinal analgesia, primiparous women, labor, pain, efficacy. |
title_short |
COMPARISON OF THE EFFECTIVENESS OF EPIDURAL AND SPINAL ANALGESIA IN FIRST PARTURIENT WOMEN |
title_full |
COMPARISON OF THE EFFECTIVENESS OF EPIDURAL AND SPINAL ANALGESIA IN FIRST PARTURIENT WOMEN |
title_fullStr |
COMPARISON OF THE EFFECTIVENESS OF EPIDURAL AND SPINAL ANALGESIA IN FIRST PARTURIENT WOMEN |
title_full_unstemmed |
COMPARISON OF THE EFFECTIVENESS OF EPIDURAL AND SPINAL ANALGESIA IN FIRST PARTURIENT WOMEN |
title_sort |
COMPARISON OF THE EFFECTIVENESS OF EPIDURAL AND SPINAL ANALGESIA IN FIRST PARTURIENT WOMEN |
author |
Cardoso , Rômulo Henrique da Silva |
author_facet |
Cardoso , Rômulo Henrique da Silva coelho , Joyce Araújo Ribeiro Vieira , Solange Mendes Beirith , Victoria Wollf Eulálio, João Pedro Libório Neiva kudo , Kin Alexia da Rocha Cunha , Lucas Andrade Fidalgo Camilo , Darlenne Galdino Fernandes , Brena Suanne Carvalho Martins , Milena Villela Carvalho , Carolina de Castro Vieira , Ingrid Paloma machado Buarque , Mariana Delgado Santos Farias, Thiago Webster Fernandes Castro, Pedro Victor Alves Rezende, Mateus ribeiro Vasconcelos |
author_role |
author |
author2 |
coelho , Joyce Araújo Ribeiro Vieira , Solange Mendes Beirith , Victoria Wollf Eulálio, João Pedro Libório Neiva kudo , Kin Alexia da Rocha Cunha , Lucas Andrade Fidalgo Camilo , Darlenne Galdino Fernandes , Brena Suanne Carvalho Martins , Milena Villela Carvalho , Carolina de Castro Vieira , Ingrid Paloma machado Buarque , Mariana Delgado Santos Farias, Thiago Webster Fernandes Castro, Pedro Victor Alves Rezende, Mateus ribeiro Vasconcelos |
author2_role |
author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Cardoso , Rômulo Henrique da Silva coelho , Joyce Araújo Ribeiro Vieira , Solange Mendes Beirith , Victoria Wollf Eulálio, João Pedro Libório Neiva kudo , Kin Alexia da Rocha Cunha , Lucas Andrade Fidalgo Camilo , Darlenne Galdino Fernandes , Brena Suanne Carvalho Martins , Milena Villela Carvalho , Carolina de Castro Vieira , Ingrid Paloma machado Buarque , Mariana Delgado Santos Farias, Thiago Webster Fernandes Castro, Pedro Victor Alves Rezende, Mateus ribeiro Vasconcelos |
dc.subject.por.fl_str_mv |
analgesia epidural, analgesia raquidiana, parturientes primíparas, trabalho de parto, dor, eficácia. epidural analgesia, spinal analgesia, primiparous women, labor, pain, efficacy. |
topic |
analgesia epidural, analgesia raquidiana, parturientes primíparas, trabalho de parto, dor, eficácia. epidural analgesia, spinal analgesia, primiparous women, labor, pain, efficacy. |
description |
The aim of this study is to comprehensively compare the efficacy of epidural and spinal analgesia in relieving pain during labor in primiparous women. Methodology: To achieve the proposed objective, we conducted a systematic literature review, consulting electronic databases such as PubMed, Scopus, and Web of Science. A combination of search terms was used. Only comparative studies, such as randomized controlled trials and cohort studies, that directly investigated the efficacy of epidural versus spinal analgesia in primiparous women were included. The methodological quality of the selected studies was assessed following specific guidelines and predefined criteria. Results: After a thorough analysis of the included studies, we observed that both epidural and spinal analgesia were effective in relieving pain during labor in primiparous women. However, the results indicated that epidural analgesia may provide more complete and prolonged pain relief, while spinal analgesia tends to have a quicker onset of action. Additionally, both techniques were associated with acceptable rates of complications and adverse effects, although some differences were observed regarding safety profiles. Conclusion: Based on the results obtained, we conclude that both epidural and spinal analgesia are effective options for pain relief during labor in primiparous women. The choice between these techniques should be individualized, taking into consideration patient preferences, progression of labor, and specific characteristics of each technique. A detailed discussion between the patient and the medical team is essential to determine the best analgesic approach for each case. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-02-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1443 10.36557/2674-8169.2024v6n2p830-847 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/1443 |
identifier_str_mv |
10.36557/2674-8169.2024v6n2p830-847 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1443/1620 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 2 (2024): BJIHS QUALIS B3; 830-847 Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 2 (2024): BJIHS QUALIS B3; 830-847 Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 2 (2024): BJIHS QUALIS B3; 830-847 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798444462931968 |