The Relationship of Combined Spinal-Epidural Analgesia and Low-Back Pain After Vaginal Delivery
Çimen Kuyumcuoğlu1, Alp Gurbet2, Gürkan Türker1, Şükran Şahin21Uludag University Faculty Of Medicine, Department Of Anesthesiology And Icu, Bursa, Turkey2Uludag University Faculty Of Medicine, Division Of Algology, Bursa, Turkey
AIM: In this study, we aimed to determine the effects of combined spinal-epidural block onto low back pain incidence after vaginal delivery.
MATERIAL-METHODS: 198 patients included to the study. Patients were separated into two groups regarding labor analgesia request. Combined spinal-epidural analgesia was performed in sitting position for the first group (Group CSE, n=104). In the second group no analgesic technique was applied as requested by the patients (non-epidural group, n= 94). The patients were asked for low back pain and other symptoms related to it after the first day, third day, one month and sixth month after delivery.
RESULTS: We determined 60 new onset low back pain after delivery in all (32 in CSE and 28 in non-epidural group). We didn’t establish any significant differences during long-time follow-ups between the groups.
CONCLUSION: We concluded that, combined spinal-epidural analgesia could be performed safely without increasing the backache incidence after delivery.
Manuscript Language: English