The Effect of Epidural-Spinal Anesthesia on Labor Outcome and Satisfaction of Parturient Mothers: Randomized Controlled Trial

One of the health system concerns is connected with the use of labor pain relief medication and its side effects. Therefore, the aim of this study was to investigate the effect of labor pain relief by using the epidural spinal anesthesia (combined anesthesia) on labor outcome and satisfaction of pregnant women.
In this Randomized Controlled Trial study, included 80 nulliparous women who had been admitted in Fatemieh Hospital due to spontaneous onset of labor (2015-2016), and randomly assigned into two groups of 40 people in combined analgia (CA) group and normal vaginal delivery (NVD) group. Data collected by using of Demographic questionnaire, satisfaction questionnaire, baby truck scales. Data analyzed by descriptive and analytical statistic in SPSS version 16.
Average maternal age (mean ± SD) in the intervention group was 34.4 ± 94.26 and in the control group was 18.5 ± 89.25, respectively. There was a significant difference between the two groups in terms of length of second stage of labor (P=0.001) , headache (P=0/04), Apgar score (1th minute) (P=0.001). Chi-square test show a significant difference between the two groups in terms of satisfaction with the childbirth (P=0.004)
In this study, labor pain relief by using the spinal - epidural anesthesia (combined) increased the satisfaction with the delivery method and was associated with some maternal and neonatal complications such as: headaches, length of third stage of labor, low Apgar score. It seems that the use of this method for painless delivery requires further studies.