The outcome of labour with epidural analgesia - a retrospective study

Ahmad, Mas Adi (2001) The outcome of labour with epidural analgesia - a retrospective study. Masters thesis, Universiti Sains Malaysia.

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Abstract

Objektif kajian ini adalah untuk menentukan hubungan di antara pembiusan epidural dengan kelahiran cara SVD (kelahiran verteks spontan) atau bukan SVD; untuk menentukan kesan pembiusan epidural ke atas jangkamasa bersalin peringkat pertama dan kedua; dan untuk menilai pengaruh gravidity, augmentasi oksitosin, parut terdahulu serta berat kelahiran fetus ke atas kesan-kesan dan hubungan-hubungan tersebut. Suatu kajian retrospektif telah dijalankan di Jabatan Obstetrik dan Ginekologi, Universiti Sains Malaysia, dengan menggunakan data kelahiran sepanjang tempoh 16 bulan dari Februari 1999 hingga Mei 2000. Ia merangkumi pesakit yang bersalin tanpa pembiusan epidural yang dipilih secara rawak dalam tempoh 8 bulan yang pertama serta semua pesakit yang bersalin dengan pembiusan epidural dalam tempoh 8 bulan berikutnya. The objectives of this study are to determine the association between epidural analgesia and the mode of delivery by SVD and non SVD ; to determine the effect of epidural analgesia on the duration of the first and second stages of labour; and to evaluate the influence of gravidity, oxytocin augmentation, previous scar and foetal birth weight on the above effects and associations. A retrospective study was carried out in the Department of Obstetrics and Gynaecology, Universiti Sains Malaysia, utilizing data of deliveries over a 16 month period from February 1999 until May 2000. This comprises randomly selected patients delivering without epidural analgesia within the first 8 months and all patients delivering with epidural analgesia in the other 8 months of the study period. Inclusion criteria are singleton pregnancy with cephalic presentation while exclusion criteria are multiple pregnancy, precipitate labour and patients with indications for elective caesarean section.

Item Type: Thesis (Masters)
Additional Information: Fulltext is available in Closed Access Repository@USM
Subjects: R Medicine > RG Gynecology and obstetrics
Divisions: Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences)
Depositing User: Mr Noorazilan Noordin
Date Deposited: 17 Aug 2017 07:21
Last Modified: 06 Nov 2017 04:10
URI: http://eprints.usm.my/id/eprint/36163

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