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A COMPARATIVE ANALYSIS TO ASSESS THE LUMBAR CURVE VARIATIONS AFTER POSTPARTUM PERIOD IN FEMALES WITH AND WITHOUT EPIDURAL ANESTHESIA

. Momna Naseem, Abdul Hanan, Farooq Islam, Rabeea Misbah , Sami Ur Rehman & Asim Raza Thakur


Abstract

The intervertebral discs and lumbar vertebral bodies wedged together and results in  lumbar lordosis ,which is the inward (ventral) curve of the lumbar spine. The lordosis angle increases with dorsal wedging of the vertebral bodies and discs (anterior section longer than posterior), while the lordosis angle is decreased by increased ventral wedging of these structures (anterior section shorter than posterior).Increased low back pain will occur from an excessive rise or reduction in the lumbar lordosis angle, which will put too much strain on the intervertebral joints or discs. The use of local anesthetics during surgery is referred to as epidural anesthesia. Numerous investigations have shown that, in addition to relieving pain, spinal anesthesia and analgesia also lower perioperative physiologic responses. In 22% of all caesarean procedures, epidural anesthesia is used.

Objective:  To assess the lumbar curve variation after postpartum period in females with or without epidural anesthesia.

Methodology:  We  took the data of 424 postpartum females after the written consent. On probability convenient sampling technique is used for the selection of data. First of all, we took the demographic data (age, gender, height, weight, occupation, BMI). Then using a measuring tape, we measured the height and then with the use of weight scale, we measured the weight .After that, we checked the lumbar curve variations (hypo lordosis , hyper lordosis) with the help of inclinometer Normal lumbar curve ranges between 30-40 degree. Increase in lumbar curve more than 40 degree considered as hyper lordosis. Decrease in lumbar curve less than 40 degree considered as hypo lordosis.

Results: Total 424 females after postpartum  period  were selected. Average age was  204(88.30) and 121(62.70),average BMI was obese class1 94(40.70) and normal was 84(43.50) and average lumbar curve variation  hyper lordosis was 99(42.90) and 96(49.70) in both with epidural anesthesia and without epidural anesthesia groups respectively.

Conclusion: Lumber curve variations in females  after postpartum  period was varying  in both groups (Group A=with epidural anesthesia  vs Group B=without epidural anesthesia ) but this variation was not observed  statistically significant.

Indexed terms_ Epidural anesthesia, Inclinometer, postpartum.

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