Combined spinal–epidural analgesia in labour: its effects on delivery outcome

Singh, Suneet Kaur Sra Charanjit; Yahya, Nurlia; Misiran, Karis; Masdar, Azlina; Nor, Nadia Md; Yee, Lee Choon

doi:10.1016/j.bjane.2014.09.006

Cited by 22 publications

(26 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies have contemplated that the degree of motor block achieved by an epidural analgesia may result in a prolonged labour and therefore increase the rates of a CS delivery [19]. Other studies [17, 20] however have demonstrated that epidural analgesia per se is unlikely to affect the chances of a normal delivery and there are many other factors that may contribute to a CS delivery such as the increased birthweight [17]. …”

Section: Discussionmentioning

confidence: 99%

“…Second, our electronic database does not have a mandatory field for recording the epidural regimen that was used. There is literature evidence showing that different epidural analgesia formulas exhibit a different effect on the course of labour and the delivery outcome [19, 20]. The main strength of our study includes its large sample size with inclusion of women who were primigravidae and under 40 years of age and had a normal BMI at booking in order to account for the significant confounding factors of parity [5], age [6], and body mass index (BMI) [7] on the success of induced labour.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series

Antonakou

Papoutsis

2016

Obstetrics and Gynecology International

View full text Add to dashboard Cite

Objective. To investigate whether the use of epidural analgesia during induced labour was a risk factor for instrumental vaginal delivery and caesarean section (CS) delivery. Study Design. This was a retrospective case series of primigravidae women being induced at term for all indications with a normal body mass index (BMI) at booking and under the age of 40 years. Results. We identified 1,046 women who fulfilled the inclusion criteria of which 31.2% had an epidural analgesia. Those with an epidural analgesia had significantly greater maternal age, higher BMI, greater percentage of oxytocin usage, and a longer first and second stage of labour. Women with an epidural analgesia had a higher instrumental delivery (37.9% versus 16.4%; p < 0.001) and CS delivery rate (26% versus 10.1%; p < 0.001). Multivariable analysis indicated that the use of an epidural was not a risk factor for a CS delivery but was a risk factor for an instrument-assisted delivery (adjusted OR = 3.63; 95% CI: 2.51–5.24; p < 0.001). Conclusion. Our study supports the literature evidence that the use of an epidural increases the instrumental delivery rates. It has also added that there is no effect on CS delivery and the observed increase is due to the presence of confounding factors.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series

Antonakou

Papoutsis

2016

Obstetrics and Gynecology International

View full text Add to dashboard Cite

show abstract

“…There is literature evidence showing that different epidural analgesia formulas exhibit a different effect on the course of labour and the delivery outcome. 8,10 Epidural anesthesia allows a gradual onset of block with avoidance of hypotension by intermittent fluid bolus. Keeping the underlying pathophysiology in view, we aimed to maintain hemodynamic stability by maintaining an optimum systemic vascular resistance, preload, heart rate, sinus rhythm and decrease in pulmonary vascular resistance.…”

Section: Discussionmentioning

confidence: 99%

Labour analgesia and obstetric outcome in heart disease complicating pregnancy in tertiary care center

Sengodan

Sharona

2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: One of the most severe pain experienced by a woman is during child birth. It is imperative to understand the pain transmission for providing labour analgesia. Hemodynamic status in labour fluctuates greatly during uterine contraction and true labour pains. Therefore, pregnant women with cardiovascular disease need epidural anaesthesia during labour depending upon the type of cardiovascular disease. Objective of this study was to assess the impact of labour analgesia and the obstetric outcome and cardiac events during labour.Methods: This is an observational study conducted in 46 pregnant women with cardiovascular disease during the period of January 2019 to December 2019 (12 months).Results: A total of 46 antenatal mother with cardiovascular disease was admitted in the department of obstetrics and gynecology over a period of one year out of which 25 patients who had epidural analgesia during labour and 21 patients who had no epidural analgesia during labour. Cardiovascular events significantly reduced in epidural group (25 patients) and there was no increase in cesarean section in epidural group.Conclusions: The data showed there was significant decrease in cardiovascular events related to arrhythmia hence decreased maternal morbidity and mortality. There was no associated increase in cesarean section rate but slight increase in instrumental vaginal delivery.

show abstract

“…7). In neueren Arbeiten werden für epidurale Injektionen meist nur noch Konzentrationen von 0,0625-0,125 % für Bupivacain und 0,0625-0,15 % für Ropivacain eingesetzt [9,13,14].…”

Section: Low-dose-mixtures In Der Forschungunclassified

“…Die Annahme, dass hierfür eine zu frühe neuraxiale Blockade verant-wortlich ist (Muttermund < 4 cm), wurde mittlerweile eindrucksvoll widerlegt [32,33]. In einem Direktvergleich zwischen CSE und Nicht-CSE (Lachgasanalgesie + intramuskuläres Pethidin und Promethazin) ergab sich ebenfalls kein Unterschied im Entbindungsmodus und fetalem Ergebnis; die Dauer der Geburt war in beiden Gruppen gleich [13].…”

Section: Auswirkungen Auf Entbindungsmodus Und Apgar-werteunclassified

Geburtshilfe: kombinierte Spinal-Epidural-Analgesie (CSE)

Wallenborn¹,

Artmann²,

Kranke³

2017

Frauenheilkunde up2date

View full text Add to dashboard Cite

Combined spinal–epidural analgesia in labour: its effects on delivery outcome

Abstract: There were no significant differences in the duration of labour, rate of instrumental vaginal delivery and emergency cesarean section, and neonatal outcome in parturients who received compared to those who did not receive CSE for labour analgesia.

Cited by 22 publications

References 20 publications

The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series

The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series

Labour analgesia and obstetric outcome in heart disease complicating pregnancy in tertiary care center

Geburtshilfe: kombinierte Spinal-Epidural-Analgesie (CSE)

Contact Info

Product

Resources

About