title: [The importance of labor pain relief in the process of childbirth, the regional anaesthesia in caesarean section and in operational gynaecology].
abstract: Labor pain relief (anaesthesia) aims at making the patient comfortable, keep her from pain and stress and at the same time keep the baby from the difficulties caused by the stress of the mother. Our work aimed at introducing the methods of anaesthesia, defining their efficiency, selecting the time and method of anaesthesia in order to improve child birth process or timely intervention. All modern methods of labor pain relief have been established in the clinic: pharmacological, transcutaneous electrical nerve stimulation (TENS), and regional anaesthesia (RA). RA makes 65% of all the pain relief cases, while 20% chooses other types of anaesthesia. Epidural sets of size 18-20 g and spinal syringes of size 25-26 g of Terumo and Braun, as well as 2% lidocaine and fentanyl were used. The statistics of the cases of anaesthesia given in our clinic proves that any method that helps the mother is approved. In 1999 cases of anaesthesia made 6.4%. RA was made only to 5 women. In 2003 82 patients (24%) chose pain relief with different methods. 33 of them (40.2%) chose RA and 49 of them (59.8%)--combined anaesthesia. Spinal anesthesia (SA) in caesarean section was administered to 11 (5%) patients. Total of 200 patients (60%) have been anaesthetized during the years of 2005-2006. 55 caesarean sections (25%) were performed with SA. Exclusive quality of pain relief, absolute relaxation, high assessment of infants by Apgar scale, excellent responses from the patients, absolutely favourable health condition of the woman during the first twenty four hours after the delivery and post operation period make RA an integral part of an obstetrical hospital.
authors.forename: N N
authors.initials: NN
authors.lastname: Ninidze
authors.forename: G Dzh
authors.initials: GD
authors.lastname: Chelidze
authors.forename: D I
authors.initials: DI
authors.lastname: Davarashvili
authors.forename: T G
authors.initials: TG
authors.lastname: Nikolaishvili
mesh_terms: D015360:Analgesia, Epidural / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006176:Gynecology / Q000379:methods*; D006801:Humans; D006973:Hypertension / Q000517:prevention & control; D048949:Labor Pain / Q000188:drug therapy*; D036801:Parturition / Q000502:physiology*; D011247:Pregnancy