21. Efficacy of programmed intermittent epidural bolus in labor analgesia
Main Article Content
Abstract
The study aimed to compare the effectiveness of programmed intermittent epidural bolus (PIEB) and continuous epidural infusion (CEI) of anesthetics into the epidural space to reduce pain during labor and delivery at Bach Mai Hospital. From April to December 2022, 60 laboring women received epidural anesthesia and were randomly assigned to groups P (n = 30, using PIED) and C (n = 30, using CEI). During labor, we recorded VAS scores, the number of rescue doses, the total anesthetic dose, the effects on movement, the satisfaction of mothers, and Apgar score. As a result, mean VAS scores were below 4 and similar in the two groups during labor; however, the rate of needing a rescue dose in group P was less than in group C (20% vs. 40%, p < 0.05). The Bromage score, and Apgar score are similar. The rate of very satisfied pregnant women in group P was significantly higher than in group C (90% vs. 60%, p < 0.05). In conclusion, PIEB is a method that provides good pain relief, requires little dose adjustment intervention, and increases maternal satisfaction in compared with CEI.
Article Details
Keywords
epidural analgesia, PIEB, CEI, labor analgesia
References
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