Author/Editor		Pleško-Mlakar, Alenka; Grmek, Sergij; Zupančič, Martina; Pavlović, Gordana; Piskernik-Belina, Jelka
Title		Epiduralna porodna analgezija: protokol in 5-letne izkušnje v Bolnišnici za ženske bolezni in porodništvo Postojna
Translated title		Regional analgesia practice for labor: a review of 5-years of experiences at Maternity hospital in Postojna
Type		članek
Source		In: Cesar-Komar M, Pirc J, Kožar E, editors. Akutna bolečina. Zbornik predavanj 11. seminar o bolečini z mednarodno udeležbo; 2007 jun 1-2; Maribor. Maribor: SZZB - Slovensko združenje za zdravljenje bolečine,
Publication year		2007
Volume		str. 48-59
Language		slo
Abstract		Background: In the article we wish to present the protocol of the use of regional (epidural, combined and spinal) labor analgesia and our 5-years experience when relieving the labor pain in the Obstetrics and Gynecology Hospital in Postojna in the period between 1st January 2002 and 31st December 2006. Type of research: Retrospective Patients and methods 1585 women, who gave birth in the hospital between 1st January 2002 and 31st December 2006 with the help of epidural (EA), combined spinal epidural (CSE) or spinal analgesia (SA), were included in the research. We compared the percentage of epidural labor analgesia according to the number of deliveries, labor duration and labor outcome, the newborn condition (Apgar) after 1 minute and 5 minutes of life. When monitoring the satisfaction of the women in labor, analog scale (VAS) to evaluate the pain, the need for additional analgesia during the labor and a descriptive evaluation were taken into account. Side effects and complications, general condition of the women in labor (ASA) and the percentage of medical indications forepidural analgesia (EA) were monitored and compared According to the staff working load also the time of beginning of the EA was compared. When possible the results were compared to the results of all labors in the hospital and the labors in all Slovenian maternity hospitals. Results In the Obstetrics and Gynecology Hospital in Postojna in the period between 1st January 2002 and 31st December 2006 1585 women gave birtli with the help of EA. All but one were classified in the ASA1 class and ASA2 class. 93,7 to 96,8% of them had epidural labor analgesia on request, for the rest, the reason was a medical indication. (Abstract truncated at 2000 characters)
Summary		Izliodišča: V članku želimo predstaviti protokol uporabe regionalne (epiduralne, kombinirane in spinalne) porodne analgezije in petletne izkušnje uporabe te metode lajšanja porodne bolečine v Bolnišnici za ženske bolezni in porodništvo Postojna v obdobju od 1.1.2002 do 31.12.2006. Vrsta raziskave: retrospektivna. Bolnice in metode dela V naziskavo je bilo vključenili 1.585 porodnic, ki so v obdobju od 1.1.2002 do 31.12.2006 rodile v Bolnišnici za ženske bolezni in porodništvo Postojna s pomočjo epiduralne (EA), kombinirane spinalno epiduralne (CSE) ali spinalne analgezije (SA). Po posameznill letih smo primerjali delež epiduralnill porodnih analgezij glede na število porodov, trajanje in izid poroda ter stanje novorojenčka ob porodu z oceno po Apgarjevi po 1 in 5 minutali življenja. Zadovoljstvo porodnic smo spremljali z oceno bolečine po vizualni analogni skali (VAS), potrebo po dodatni analgeziji med porodom in opisno oceno. Po posameznih letih smo spremljali in primerjali tudi stranske učinke in zaplete, splošno stanje porodnice (ASA) in delež medicinskih indikacij za epiduralno porodno analgezijo (EPA). Glede na obremenjenost osebja smo primerjali tudi čas začetka EPA. Kjer je bilo mogoče, smo rezultate primerjali z rezultati pri vseh porodili v Bolnišnici Postojna in pri porodill v vseh porodnišnicah v Sloveniji. Rezultati V Bolnišnici za ženske bolezni in porodništvo Postojna je v času od 1.1.2002 do 31.12.2006 rodilo 1.585 porodnic s pomočjo EPA. Vse, razen ene, so bile uvrščene v razreda ASA1 in ASA2, 93,7 - 96,8% vseh je dobilo epiduralno porodno analgezijo zaradi lastne želje, pri ostalih je bil razlog medicinska indikacija. (Izvleček skrajšan pri 2000 znakih)
Descriptors		LABOR ANALGESIA, OBSTETRICAL ANALGESIA, EPIDURAL