


Volume 21 No 6 (2023)
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EXAMINATION OF THE METHODS USED TO RELIEVE PAIN IN PREGNANT WOMEN WITH AP AND EFFECTIVENESS OF EACH TECHNIQUE IN TERMS OF REDUCING PAIN AND PRESERVING THE HEALTH
Dr. Safia Ewaz Ali, Dr Rimsha Amjad, Dr Rukhsana Shaheen Afzal, Dr. Shakeela Bano, Dr Hammad Ashiq, Dr Rukhsana Shaheen Afzal
Abstract
Objective: It is an uncommon but dangerous disorder with an estimated incidence rate of 1 in 1000 to 10,000 pregnancies. The most common and early sign of AP is severe stomach and epigastric pain, and providing the patient with sufficient relief is essential to good patient care. In light of this, the goal of our study was to examine the many techniques used to relieve pain in expecting moms with AP and to evaluate the effectiveness of each technique in terms of reducing pain and preserving the health of the mother and fetus.There are few cases of acute pancreatitis during pregnancy, but when it does happen, the symptoms may be quite severe.
Methods: We focused on pregnant women with acute pancreatitis determined by both clinical and biochemical variables. We examined each patient's medical history as well as pertinent clinical and biochemical data from the careful record-keeping process used by the hospital to collect data for the study.Our research was a six-year retrospective observational study carried out at the renowned Mayo Hospital.
Results:A considerable drop in VAS ratings from 8 or 9 to 1 or 2 supported the conclusion of our study that epidural analgesia directed at the L1-L2 spinal level was a successful pain management technique. Contrarily, pregnant women who received intravenous fentanyl infusion or intravenous tramadol boluses never had their VAS ratings go below 3. Impressively, two of our patients obtained labor analgesia using the same catheter in the following pregnancies, while three others received anesthesia during cesarean sections with similarly favorable results for mother and baby. Twelve pregnant women in all who satisfied the clinical and biochemical requirements for acute pancreatitis were the subject of our investigation. One patient each had preeclampsia and eclampsia, and of those 12, five patients had AP associated with gallstones, and two had hypertriglyceridemia.
Conclusions: The results of our research support the use of epidural analgesia as a better method of pain relief, leading to faster recovery for pregnant moms with AP. Our study also suggests a potential new strategy for treating AP in pregnant women: utilizing the same catheter for labor analgesia and anesthesia during cesarean surgery. Overall, our research emphasizes the significance of prompt and effective therapy in maintaining favorable outcomes for both the mother and the fetus in instances with AP during pregnancy. Acute pancreatitis (AP) in pregnancy may have positive effects on the mother and baby with early diagnosis and appropriate treatment.
Keywords
Objective: It is an uncommon but dangerous disorder with an estimated incidence rate of 1 in 1000 to 10,000 pregnancies. The most common and early sign of AP is severe stomach and epigastric pain, and providing the patient with sufficient relief is essential to good patient care. In light of this, the goal of our study was to examine the many techniques used to relieve pain in expecting moms with AP and to evaluate the effectiveness of each technique in terms of reducing pain and preserving the health of the mother and fetus.There are few cases of acute pancreatitis during pregnancy, but when it does happen, the symptoms may be quite severe. Methods: We focused on pregnant women with acute pancreatitis determined by both clinical and biochemical variables. We examined each patient's medical history as well as pertinent clinical and biochemical data from the careful record-keeping process used by the hospital to collect data for the study.Our research was a six-year retrospective observational study carried ou
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