بررسی تأثیر گاز انتونوکس بر آپگار نوزادان متولد شده در بیمارستان شهیدان مبینی شهر سبزوار

  H . Yazdi Moghaddam [1] , F . Rahnamai Rahsepar [2] , A . Heydari [3]         Received: 11/07/2009 Sent for Revision: 23/01/2010 Received Revised Manuscript: 20/11/2010 Accepted: 26/12/2010         Background and Objectives : Delivery is one of the greatest events in the life of a pregnant woman. Although it is considered to be a natural phenomenon, it is potentially dangerous. Entonox gas used for pain relief and is reasonably effective in labor analgesic practice. The purpose of this study was to compare the APGAR score of the neonates were born to mothers who treated with entonox gas with those who their mothers did not received this gas.   Materials and Methods : In this semi-experimental study, 270 pregnant women hospitalized at the labor ward of Shahidan Mobini Hospital of Sabzavar were included using simple available sampling method. They were then separated into two groups, case and control, based on their specifications. The data gathering tool for this study was a questionnaire of "investigating the effect of entonox gas as a no-pain labor agent on Neonates’ APGAR" which is individually filled out for each patient by obstetrician colleagues. The APGAR scores of infants were recorded at 1st, 5th, and 20th minutes. The statistical analysis of data was performed by t-test, Chi-Square and Fisher tests using SPSS software.   Results : That there were no significant differences between the two groups in terms of age, pregnancy period, and using labor induction. The APGAR scores of the case group at 1st, 5th, and 20th minutes postpartum were significantly higher than the control group (p< 0.05).   Conclusion : Regarding the importance of controlling pain during delivery and its effect on reducing the mother’s stress, using of entonox gas can be a good option for relieving pain during delivery moreover, it can improve the APGAR score.   Key words : Entonox Gas, APGAR, No-pain Labor     Funding: This research was funded by Sabzevar University of Medical Sciences. .   Conflict of interest: None declared.   Ethical approval: The Ethics Committee of Sabzevar University of Medical Sciences approved the study.    How to cite this article : Yazdi Moghaddam H, Rahnamai Rahsepar F, Heidari A . Studying the Effect of Entonox Gas on the APGAR of the Neonates . J Rafsanjan Univ Med Sci 2011 10(3): 165-74. [Farsi]     1- Academic Member, Dept. of Operation Room, School of Allied Medical Sciences, Sabzevar University of Medical Sciences, Sabzevar, Iran   Corresponding Author, Tel: (0571) 4446030, Fax: (0571) 4446008, E-mail: [email protected]   2- Academic Member, Dept. of Nursing, Nursing & Midwifery School, Sabzevar University of Medical Sciences, Sabzevar, Iran   3- Assistant Prof., Dept , of Nursing, Nursing & Midwifery School, Mashhad University of Medical Seiences, Mashhad, Iran