الفهرس 
Labour PainOnly 14 pages are availabe for public view
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Abstract
Labour is the most important event during any female life, despite interest about obtaining a child, it is associated with labour pain which is the most severe pain experienced by women and associated with severe pathophysiological consequences. Severity of labour pain is a major cause for increasing rate of caesarean section allover the world. Painless vaginal delivery had increased popularity among pregnant women. There are multiple available modalities for relief of labour pain. The main goal of any modality is to achieve maximal and satisfactory pain relief without maternal and/or fetal hazards. Epidural labour analgesia is considered the most accepted modality for relief of labour pain with use of low concentrations local anesthetics plus opiods (mostly fentanyl). However there are several drawbacks of use of epidural labour analgesia which limit or prevent its use. Dexmedetomidine is a new drug which have sedative and analgesic effect, so it can be used to relief labour pain either through intravenous or neuraxial administration. In this study we aimed to evaluate efficacy of three different modalities of painless labour by comparing epidural fentanyl to epidural dexmedetomidine and pre-emptive intravenous infusion of dexmedetomidine.This prospective randomized controlled study was carried out in Tanta University Hospitals after approval from ethical committee and informed written consent describing benefits and hazards of technique.