A retrospective case-controlled study of the association between request to discontinue second stage labor epidural analgesia and risk of instrumental vaginal delivery

Toledo, Paloma; McCarthy, Robert J.; Ebarvia, M.J.; Wong, Cynthia A.

doi:10.1016/j.ijoa.2007.10.007

Cited by 13 publications

(4 citation statements)

References 13 publications

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“…Finally, a retrospective study of more than 2000 parturients demonstrated that women who experienced breakthrough pain during the first stage of labour were more likely to undergo instrumental vaginal delivery. 76 Taken together, these studies suggest that the early onset of severe pain and higher labour analgesia requirements increase the risk of abnormal labour and operative delivery, possibly explaining the observed association between neuraxial analgesia and operative delivery.…”

Section: Association Between Labour Pain and Mode Of Deliverymentioning

confidence: 79%

Labour analgesia and obstetric outcomes

Cambic

Wong

2010

British Journal of Anaesthesia

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183

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Neuraxial analgesic techniques are the gold standards for pain relief during labour and delivery. Despite the increased use and known benefits of neuraxial labour analgesia, there has been significant controversy regarding the impact of neuraxial analgesia on labour outcomes. Review of the evidence suggests that effective neuraxial labour analgesia does not increase the rate of Caesarean delivery, even when administered early in the course of labour; however, its use is associated with a prolonged second stage of labour. Effective second-stage analgesia might also be associated with an increased rate of instrumental vaginal delivery.

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Section: Association Between Labour Pain and Mode Of Deliverymentioning

confidence: 79%

Labour analgesia and obstetric outcomes

Cambic

Wong

2010

British Journal of Anaesthesia

Self Cite

183

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“…Dosta se govori i o tome da i sama jača percepcija bola u latentnoj fazi može biti predskazivač distotič-nih problema u kasnijem toku porođaja. Moguće je da se kod žena s mnogo jačim porođajnim bolovima ne radi o niskom pragu za bol, već o disfunkcionalnom porođaju koji bi se završio operativno bilo sa EA bilo bez EA [42,45,[52][53][54].…”

Section: Epiduralna Analgezija U Porođaju: Kontroverzeunclassified

“…Ta praksa nije dala očekivane rezultate, a može biti i kontraproduktivna pošto se može desiti da po iščezavanju bloka i pojavi jakih kontrakcija porodilja Kutlešić M, i sar. Epiduralna analgezija u porođaju Literatura odbije da se napinje [18,42,54,59], te se preporučuje nastavljanje analgezije malim koncentracijama lokalnog anestetika uz eventualno redukovanje brzine infuzije, što neće povećati incidenciju instrumentalnog dovršenja vaginalnog porođaja [49,54].…”

Section: Epiduralna Analgezija U Porođaju: Kontroverzeunclassified

Epidural analgesia in labor: specific characteristics, dilemmas and controversies

Kutlešić

Kutlesic

2012

Med pregl

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“…Pain associated physiological responses are potentially harmful for the foetus. 1 Numerous methods are used to relieve labour pain. These include pharmacological and non-pharmacological methods of pain management.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Epidural Analgesia versus Traditional Analgesia for Relief of Labour Pain

Anam¹,

Rahman²,

Hossain³

et al. 2021

KYAMC j.

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Background: Labour pain, a form of acute pain, intensity of the pain is perceived by many women as very severe or intolerable especially in nulliparous. Providing effective and safe analgesia during labour has remained an ongoing challenge. Multiple pharmacologic and non-pharmacologic options are available to manage labour pain. Epidural analgesia have reported nearly complete pain relief with effective labour conduction. Objective: Purpose of this study was to evaluate the effectiveness of epidural analgesia and pethidine during labour and delivery. Materials & Methods: This cross sectional comparative study was conducted to compare the efficacy and safety between epidural and traditional analgesia on nulliparous women in labour. Subjects were grouped into two, group A received epidural & group B received traditional analgesia, each group comprising with 40 patients. Then the subjects were followed up and outcomes were recorded in a preformed data collection sheet. Results: The two groups were almost identical. Maternal age, gestational age and preinduction pain score (p = 0.127, p = 0.454 and p = 0.186 respectively). Study demonstrated earlier onset, pain score at different time intervals and the time of delivery were lower in epidural group than traditional (p < 0.001). No significant difference of complications (p = 0.431). Two(5%) patients in the epidural and five(12.5%) in the traditional group required caesarean delivery (p=0.455). No significance on neonatal outcome. Conclusion: Epidural analgesia induces a much earlier onset, intensity of pain reduced to a tolerable level and maintained up to delivery which not attained in the traditional method of analgesia. KYAMC Journal.2021;12(02): 66-70

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A retrospective case-controlled study of the association between request to discontinue second stage labor epidural analgesia and risk of instrumental vaginal delivery

Cited by 13 publications

References 13 publications

Labour analgesia and obstetric outcomes

Labour analgesia and obstetric outcomes

Epidural analgesia in labor: specific characteristics, dilemmas and controversies

Efficacy and Safety of Epidural Analgesia versus Traditional Analgesia for Relief of Labour Pain

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