Krzysztof and Susilo Chandra assess maternal satisfaction
with single-dose spinal analgesia for the management of
obstetric pain in Indonesian women [14]. The investigation included
62 labouring women with single pregnancy at term,
with 45 primigravida and 17 multigravida. All 62 parturients
received single-dose spinal anaesthesia with a combination of
bupivacaine, 2.5 mg; morphine, 0.25 mg; and clonidine,
45 lg. Maternal satisfaction, duration of pain relief, and side
effects were studied. The overall maternal satisfaction with
the single-dose spinal technique for labour analgesia in their
study group was high, with 50 patients (81%) being very satis-
fied, and 7 patients (11%) being satisfied with the quality of labour
analgesia. Forty-nine patients (79%) stated that they
would select single-dose spinal analgesia for pain control in labour
in the future. They concluded that single-dose spinal
analgesia with a combination of bupivacaine, morphine, and
clonidine provided effective labour pain control, and maternal
satisfaction with this technique was very high. They concluded
that spinal technique is very cost-effective and should be recommended
for routine obstetric pain control. Their conclusion
agreed with that mentioned in our study.
Holstrom et al. in a controlled study single segment combined
spinal epidural (CSE) block was compared with spinal
and epidural block for major orthopaedic surgery [15]. The
study was carried out on seventy-five patients randomly assigned
to receive one of the three blocks. Bupivacaine 0.5%
and morphine were used for anaesthesia and analgesia; they
concluded that analgesia and surgical condition provided by
spinal and CSE were superior to those provided by epidural
block. Their conclusions go with that in our study.
Krzysztof and Susilo Chandra assess maternal satisfactionwith single-dose spinal analgesia for the management ofobstetric pain in Indonesian women [14]. The investigation included62 labouring women with single pregnancy at term,with 45 primigravida and 17 multigravida. All 62 parturientsreceived single-dose spinal anaesthesia with a combination ofbupivacaine, 2.5 mg; morphine, 0.25 mg; and clonidine,45 lg. Maternal satisfaction, duration of pain relief, and sideeffects were studied. The overall maternal satisfaction withthe single-dose spinal technique for labour analgesia in theirstudy group was high, with 50 patients (81%) being very satis-fied, and 7 patients (11%) being satisfied with the quality of labouranalgesia. Forty-nine patients (79%) stated that theywould select single-dose spinal analgesia for pain control in labourin the future. They concluded that single-dose spinalanalgesia with a combination of bupivacaine, morphine, andclonidine provided effective labour pain control, and maternalsatisfaction with this technique was very high. They concludedthat spinal technique is very cost-effective and should be recommendedfor routine obstetric pain control. Their conclusionagreed with that mentioned in our study.Holstrom et al. in a controlled study single segment combinedspinal epidural (CSE) block was compared with spinaland epidural block for major orthopaedic surgery [15]. Thestudy was carried out on seventy-five patients randomly assignedto receive one of the three blocks. Bupivacaine 0.5%and morphine were used for anaesthesia and analgesia; theyconcluded that analgesia and surgical condition provided byspinal and CSE were superior to those provided by epiduralblock. Their conclusions go with that in our study.
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