Trends in the use of epidural analgesia in Australia

Lain, Samantha J.; Ford, Jane B.; Hadfield, Ruth M.; Blyth, Fiona; Giles, Warwick B.; Roberts, Christine L.

doi:10.1016/j.ijgo.2008.04.023

Cited by 15 publications

(12 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A US-based study found similar, but not statistically significant, higher odds of epidural use associated with induction of labor (OR = 2.30, 95% CI 0.50 - 9.40) [9]. Further, an Australian study reported higher odds of epidural use among women with induced labor, similar to our report (OR = 1.86, 95% CI 1.83 - 1.88) [18]. Induction of labor is likely associated with epidural use for several reasons.…”

Section: Discussionsupporting

confidence: 85%

Risk Factors Associated With Epidural Use

et al. 2012

View full text Add to dashboard Cite

BackgroundIdentify variables associated with intrapartum epidural use.MethodsOdds ratios were calculated to quantify associations between selected variables and epidural use using a population-based case-control study of Washington State birth certificate data from 2009.ResultsNon-Whites had 10 - 45% lower odds of epidural use relative to Whites. Foreign-born women had 25 - 45% lower odds of epidural use compared to their US-born counterparts, except for Asians. Women who smoked or induced labor had higher roughly 2-fold higher odds of epidural use compared with non-smokers or women giving birth spontaneously, respectively. Women without a high school diploma or equivalent had lower odds of epidural use relative to those who graduated. Delivering at perinatal units, rural hospitals, or non-profit hospitals had ~50% lower odds of epidural use compared with secondary/teritiary perinatal units, urban hospitals or for-profit hospitals, respectively. ConclusionSeveral individual and health service-related variables were associated with epidural use. These findings elucidate the clinical relevance of epidural use, and dispariaties in its utilization and in quality of care during delivery.KeywordsEpidural use; Foreign birth; Labor; Racial disparities

show abstract

Section: Discussionsupporting

confidence: 85%

Risk Factors Associated With Epidural Use

et al. 2012

View full text Add to dashboard Cite

show abstract

“…In units with 5000-7500 deliveries, only 3/8 (38%) units had such coverage. There were 8 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13) labor rooms in each hospital. All units had computerized data collecting systems; however, only 9 units used this system to record complications.…”

Section: Resultsmentioning

confidence: 99%

“…8 In comparing obstetric anesthesia services within Israel with other developed countries, the overall use of labor epidural analgesia is higher. 3,9,10 A 1999 German survey reported a labor epidural analgesia rate less than 10%, with 10% of institutions not offering labor epidural analgesia. 11 Some European countries have reported high rates of labor epidural analgesia use, including 65% in Flanders, 12 and 61.6% in France, 13 with higher rates in teaching hospitals.…”

Section: Discussionmentioning

confidence: 99%

Obstetric anesthesia units in Israel: a national questionnaire-based survey

Weiniger

Ivri

Ioscovich

et al. 2010

International Journal of Obstetric Anesthesia

View full text Add to dashboard Cite

“…R outinely collected population health datasets (PHDS) are an important data source for epidemiological and health services research, and they are frequently used to estimate prevalence of conditions, 1 examine temporal trends, [2][3][4] and evaluate health policy. 5,6 Data linkage allows enhanced utilization of PHDS for a range of research opportunities, including longitudinal studies, 7 the collection of outcome and cost data for randomized controlled trials, 8 and more recently the linkage of PHDS with laboratory data to find biomarkers of adverse outcomes.…”

mentioning

confidence: 99%