Bài viết trình bày nhận xét một số tác dụng không mong muốn của phương pháp giảm đau trong chuyển dạ đẻ bằng gây tê ngoài màng cứng do sản phụ tự điều khiển tại Trung tâm y tế huyện Quế Võ, năm 2019 - 2020. | Vietnam Journal of Community Medicine Vol. 64 Special Issue 11 43-50 COMMENTS ON SIDE EFFECTS OF THE PATIENT-CONTROLLED EPIDURAL ANALGESIA PCEA IN LABOR PAIN RELIEF AT THE QUE VO DISTRICT MEDICAL CENTER BAC NINH PROVINCE FROM 2019 TO 2020 Dao Khac Hung1 Nguyen Van Quang2 Tran Cong Tien3 1 Bac Ninh Obstetric and Pediatric Hospital - Huyen Quang Street Dai Phuc Ward Bac Ninh City Bac Ninh Province Vietnam 2 Que Vo District Medical Center - Dinh village Pho Moi ward Que Vo Bac Ninh city Bac Ninh province Vietnam 3 Bac Ninh Provincial General Hospital - Nguyen Quyen Street Vo Cuong Ward Bac Ninh City Bac Ninh Province Vietnam Received 14 09 2023 Revised 03 10 2023 Accepted 29 10 2023 ABSTRACT Objectives To review the side effects of the patient-controlled epidural analgesia PCEA in labor pain relief at Que Vo District Medical Center Bac Ninh province from 2019 to 2020. Subjects research methods The study was conducted on 36 women who received patient controlled epidural analgesia PCEA with bupibvacaine combination with fentanyl 2 mcg ml at the Que Vo District Medical Center Bac Ninh province from 2019 to 2020. Results The intensity and frequency of uterine contractions were not affected by analgesia during labor Fetal heart rate and neonatal Apgar score were stable in all study subjects. There are some side effects on the mother such as Motor inhibition Bromage grade I with the rate of shivering nausea vomiting headache itching . No serious complications such as hematoma epidural abscess nerve damage. after epidural anesthesia. Conclusion Patient-controlled epidural analgesia PCEA with bupivacaine combined with fentanyl 2 mcg ml did not affect the intensity and frequency of uterine contractions did not affect fetal heart rate and neonatal Apgar score. There are some side effects on the mother with a low rate such as Motor inhibition shivering nausea vomit headache itching. but no serious complications such as epidural hematoma epidural
