Effect of epidural analgesia on cesarean section in nulliparous women
Anesthesia and Pain Medicine
;
: 75-78, 2010.
Article
in Korean
| WPRIM
| ID: wpr-113122
ABSTRACT
BACKGROUND:
The effect of epidural analgesia for labor on obstetric outcome is controversial. The purpose of this study is evaluating the influence of epidural analgesia on cesarean section in nulliparous women.METHODS:
We retrospectively investigated 979 nulliparous women ASA graded I - II. EPI (n = 230) was received epidural analgesia with 0.2% ropivacaine and 75microgram fentanyl. N-EPI (n = 749) was received no epidural analgesia but nalbuphine 10 mg intramuscularly. We compared the rate and causes of cesarean section, instrumental delivery rate and fetal outcomes between EPI and N-EPI.RESULTS:
Cesarean section rate was not different between the EPI (18%) and N-EPI (23%). Causes of cesarean section were progress failure (83% in EPI and 80% in N-EPI) and fetal distress (17% in EPI and 20% in N-EPI) and there were no differences between two groups. Instrumental delivery rate was higher in EPI (8%) than N-EPI (5%). Fetal outcome was not different between two groups.CONCLUSIONS:
Epidural analgesia did not increase cesarean section rate and did not influence on causes of cesarean section. But epidural analgesia increased the vacuum delivery rate.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Vacuum
/
Analgesia, Epidural
/
Cesarean Section
/
Fentanyl
/
Retrospective Studies
/
Fetal Distress
/
Amides
/
Nalbuphine
Type of study:
Observational study
/
Risk factors
Limits:
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Anesthesia and Pain Medicine
Year:
2010
Type:
Article
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