Özet:

Introduction and Target: The development of pain control in vaginal birth is an important cornerstone in the studies of the reduction of the interests of cesarean due to the mother's desire. Epidural analgesia is one of the most common methods used for the purpose of birth analgesia because it does not cause depression in the central nervous system, facilitates cooperation in the process of birth and the low rates of complications. This study was aimed at comparing the epidural analgesic technique applied in nullipar pregnancies with nullipar pregnancies not applied any analgesic method and assessing their effects on the newborn. Method and Requirements: Epidural analgesis was applied and not applied between May 2014 and December 2014, followed by nullipar pregnancies, the need for augmentation was applied. Obstetric data, baby birth weight and newborn APGAR scores were studied retrospective. In addition to the identifying analysis, the Student-t test, Pearson Ki-Kare test, Yates (Continuity Correction) Ki-Kare test and Fisher's exact test were used. The number of patients applied augmentation in the pregnancy of 70 nullipar included in the study, the period of augmentation, the periods of birth in the first and second stages were significantly high in the epidural analgesic group. There has been no statistically significant difference between the groups in terms of vaginal/perine breakdown, caesarine/operative birth rates, side effects and newborn APGAR scores. Excessive fears, anxiety, panic, and the negative effects of incompatibility with the vaginal process of childbirth on the maternal and fetal consequences should not be denied. Adding routine augmentation to patients with epidural analgesics may be important in terms of shortening the period of work.

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