الفهرس 
Anatomy of PainOnly 14 pages are availabe for public view
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Abstract
Labor pain includes components that differ completely from pain in general. It is the result of natural events and has a special meaning, leading in most cases to something extremely positive, the birth of a healthy child.
The aim of labor analgesia is to soothe anxiety and pain in the mother, while simultaneously guaranteeing the physiological progression of labor, reduced onset of obstetric complications, and maximum well-being of the maternal-fetal unit. The ideal analgesic should be safe for the mother and newborn, and provides flexibility in changing conditions. Additionally, the ideal technique should provide long-lasting, consistent analgesia titrated to individual parturient needs, with minimal or no risk, no undesirable maternal or fetal side effects and with minimal physician input and cost.
An understanding of labor pain in a multidimensional framework provides the basis for a woman-centered approach to labor pain management that includes a broad range of pharmacologic and nonpharmacologic intervention strategies. The most common pharmacological methods currently in use are entonox and epidural analgesia. Nonpharmacologic methods include continuous labor support, baths, intradermal water blocks, acupuncture, massage, transcutaneous electrical nerve stimulation, and hypnosis.
The objective of this study is to compare the effectiveness, safety, women satisfaction and subsequent need for additional analgesia after administration of paracetamol tablets and placebo tablets of decrease pain in the 1st stage of labor.
The study was carried on one hundred pregnant women at term (37-42weeks) in the first stage of labor fulfilled the selection criteria mentioned in this study protocol, and the selection was from the pre labor ward of Ain-Shams Maternity Hospital after their acceptance and signing the appropriate consent and were randomly assigned to two groups (fifty parturient each):
1- Paracetamole group.
2- Placebo group.
Routine intrapartum management of all women included intravenous fluid administration and auscultation of the fetal heart with fetal stethoscope. Pelvic examination was performed to evaluate the progress of labor.
The women’s baseline vital signs (blood pressure, heart rate, and respiratory rate) were documented.
In all women, the administration of the analgesic drug was carried out within the active phase of labor, at cervical dilatation between 3 and 5cm.