| Titre : | COMPARATIVE STUDY OF OBSTETRIC EPIDURAL ANALGESIA: LIDOCAINE VS. BUPIVACAINE AT SOUISSI MATERNITY HOSPITAL OF RABAT | | Type de document : | thèse | | Auteurs : | HALHOUL Youssef, Auteur | | Année de publication : | 2024 | | Langues : | Français (fre) | | Mots-clés : | Bupivacaine Epidural Labor pain Lidocaine. | | Résumé : | Introduction: Labor pain is one of the most severe types of pain for women. It typically
involves extreme and general fatigue, intense stomach contractions, and severe vaginal burning
sensation. Epidural analgesia is widely recognized as the most effective and safest method for
labor pain relief, endorsed by the World Health Organization (WHO).
Objective: Our study aims to review the techniques and protocols used by our team,
compare the efficacy of two local anesthetics - Bupivacaine and Lidocaine - in epidural
administration within our institution, and analyze and compare the study results with existing
literature in the field.
Materials and Methods: This single-center retrospective cohort study was conducted at
Souissi Maternity Hospital, Ibn Sina University Hospital in Rabat, spanning 18 months from
January 2022 to June 2023.A total of 142 parturients were included, divided into two groups:
Bupivacaine (64) and Lidocaine (78). The study compares these protocols based on quantitative
and qualitative variables, such as mode of delivery, use of obstetric instruments, episiotomy,
and duration of epidural use.
Results: In our univariate analysis using binomial logistic regression, we found
significantly higher rates of instrumentation and episiotomy in the bupivacaine group compared
to the lidocaine group, with odds ratios of 2.62 for instrumentation and 3.01 for episiotomy (pvalues: 0.011 and 0.022, respectively). While the significance of episiotomy diminishes in
multivariate analysis adjusting for all parameters, the persistence of instrumentation remains
notable, being 3.6 times more likely in the bupivacaine group (p-value: 0.043).
Conclusion: Lidocaine may offer advantages over bupivacaine, showing a lower
likelihood of obstetrical instruments use. However, no discernible benefits were observed in
terms of cesarean section and episiotomy rates, or duration of application. | | Numéro (Thèse ou Mémoire) : | MS0422023 | | Directeur : | TACHINANTE RAJAE |
COMPARATIVE STUDY OF OBSTETRIC EPIDURAL ANALGESIA: LIDOCAINE VS. BUPIVACAINE AT SOUISSI MATERNITY HOSPITAL OF RABAT [thèse] / HALHOUL Youssef, Auteur . - 2024. Langues : Français ( fre) | Mots-clés : | Bupivacaine Epidural Labor pain Lidocaine. | | Résumé : | Introduction: Labor pain is one of the most severe types of pain for women. It typically
involves extreme and general fatigue, intense stomach contractions, and severe vaginal burning
sensation. Epidural analgesia is widely recognized as the most effective and safest method for
labor pain relief, endorsed by the World Health Organization (WHO).
Objective: Our study aims to review the techniques and protocols used by our team,
compare the efficacy of two local anesthetics - Bupivacaine and Lidocaine - in epidural
administration within our institution, and analyze and compare the study results with existing
literature in the field.
Materials and Methods: This single-center retrospective cohort study was conducted at
Souissi Maternity Hospital, Ibn Sina University Hospital in Rabat, spanning 18 months from
January 2022 to June 2023.A total of 142 parturients were included, divided into two groups:
Bupivacaine (64) and Lidocaine (78). The study compares these protocols based on quantitative
and qualitative variables, such as mode of delivery, use of obstetric instruments, episiotomy,
and duration of epidural use.
Results: In our univariate analysis using binomial logistic regression, we found
significantly higher rates of instrumentation and episiotomy in the bupivacaine group compared
to the lidocaine group, with odds ratios of 2.62 for instrumentation and 3.01 for episiotomy (pvalues: 0.011 and 0.022, respectively). While the significance of episiotomy diminishes in
multivariate analysis adjusting for all parameters, the persistence of instrumentation remains
notable, being 3.6 times more likely in the bupivacaine group (p-value: 0.043).
Conclusion: Lidocaine may offer advantages over bupivacaine, showing a lower
likelihood of obstetrical instruments use. However, no discernible benefits were observed in
terms of cesarean section and episiotomy rates, or duration of application. | | Numéro (Thèse ou Mémoire) : | MS0422023 | | Directeur : | TACHINANTE RAJAE |
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