The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series
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 no...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2016/5740534 |
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| author | Angeliki Antonakou Dimitrios Papoutsis |
| author_facet | Angeliki Antonakou Dimitrios Papoutsis |
| author_sort | Angeliki Antonakou |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a93e602aed2145808b378de97d4eda01 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-a93e602aed2145808b378de97d4eda012025-02-03T01:12:09ZengWileyObstetrics and Gynecology International1687-95891687-95972016-01-01201610.1155/2016/57405345740534The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case SeriesAngeliki Antonakou0Dimitrios Papoutsis1Department of Midwifery, Midwifery School, “Alexander” Technological Educational Institute of Thessaloniki, Thessaloniki, GreeceDepartment of Obstetrics and Gynaecology, Shrewsbury and Telford Hospitals NHS Trust, Shrewsbury, UKObjective. 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.http://dx.doi.org/10.1155/2016/5740534 |
| spellingShingle | Angeliki Antonakou Dimitrios Papoutsis The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series Obstetrics and Gynecology International |
| title | The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series |
| title_full | The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series |
| title_fullStr | The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series |
| title_full_unstemmed | The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series |
| title_short | The Effect of Epidural Analgesia on the Delivery Outcome of Induced Labour: A Retrospective Case Series |
| title_sort | effect of epidural analgesia on the delivery outcome of induced labour a retrospective case series |
| url | http://dx.doi.org/10.1155/2016/5740534 |
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