The Relationship of Combined Spinal-Epidural Analgesia and Low-Back Pain After Vaginal Delivery

AIM: In this study, we aimed to determine the effects of combined spinal-epidural block onto low back pain incidence after vaginal delivery.
MATERIAL-METHODS: 198 patients included to the study. Patients were separated into two groups regarding labor analgesia request. Combined spinal-epidural analgesia was performed in sitting position for the first group (Group CSE, n=104). In the second group no analgesic technique was applied as requested by the patients (non-epidural group, n= 94). The patients were asked for low back pain and other symptoms related to it after the first day, third day, one month and sixth month after delivery.
RESULTS: We determined 60 new onset low back pain after delivery in all (32 in CSE and 28 in non-epidural group). We didn’t establish any significant differences during long-time follow-ups between the groups.
CONCLUSION: We concluded that, combined spinal-epidural analgesia could be performed safely without increasing the backache incidence after delivery.