%0 Journal Article
%T The efficacy of intravenous paracetamol as an analgesic for women during labor pain: a prospective, randomized controlled trial
%A Mehmet B¨¹lb¨¹l
%J -
%D 2019
%X Objective: Labor pain is one of most severe pain that women may suffer during a lifetime. Actually, epidural analgesia (EA) is the most effective method for labor pain. But it is not available every time and alternative approaches needed. We observed intravenous paracetamol (IVP) for this purpose. Methods: Our study was planned as a prospective, randomized controlled trial in two centers, during September 2007 - August 2008. After randomization, 32 patients were included in IVP group, 24 patients in EA group and 37 patients in placebo groups that total number was 93. Findings: Highest 1st minute APGAR scores were detected in placebo group, compared to IVP and EA groups. But, for 5th minute APGAR scores, no difference was detected among three groups. Lowest VAS scores obtained in EA group whereas highest scored were in Placebo group. Mean VAS scores were 8-9.5 for placebo, 7.7-8.5 for IVP and 4-6 for EA groups. As labor progresses, VAS scores were increasing in IVP and placebo groups whereas for EA group scores decreased. When 0 and 30 minutes VAS scored considered, both EA and IVP groups showed lower 30 minutes scores, where the difference was more prominent for EA group. This effect was still detected in EA group but not in other two groups in 60 minutes scores. For all groups, pain was described as diffuse pain in early stages of labor, but better localized as labor progresses. Conclusion: For labor pain, IVP can be considered as a safe and easily applicable option when EA is not available. Well standardized studies including more participants, observing IVP alone or in a combination treatment for labor pain with more frequent and higher dosages, are needed
%K A£¿r£¿
%K Analjezi
%K Do£¿um eylemi
%K Epidural analjezi
%K parasetamol
%U http://dergipark.org.tr/adiyamansaglik/issue/43834/501585