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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Labor epidural analgesia and the incidence of instrumental assisted delivery

1
Department of Anesthesiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
2
Tauragė Hospital, Tauragė, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2015, 51(2), 76-80; https://doi.org/10.1016/j.medici.2015.02.002
Received: 2 February 2014 / Accepted: 9 February 2015 / Published: 25 March 2015
Objective: To assess the influence of labor epidural analgesia on the course of labor and to determine its association with instrumental assisted delivery rate.
Materials and methods: A retrospective case–control study was performed during 2007–2011 aiming to identify the relation between epidural analgesia (EA) and instrumental assisted delivery (IAD) rate. All patients in whom instrumental assistance for delivery was applied were allocated into either case (parturients who received EA and had IAD) or control (parturients who did not receive EA but had IAD) groups. Maternal demographic data, pregnancy and delivery characteristics as well as neonatal short-term outcome were studied.
Results: A total of 7675 vaginal deliveries occurred during the study period and 187 (2.43%) patients had IAD. Vacuum extraction was applied to 67 (2.16%) parturients who received EA, and to 120 (2.61%) who did not. The median duration of the first stage of labor was 510 min in the EA group as compared to 390 min in the control group (P = 0.001). The median duration of the second stage of labor among cases and controls was 60 and 40 min, respectively (P < 0.0005). Cases more often had their labor induced by oxytocin 80.3% as compared to 58.3% among controls (P = 0.003). There was no significant association between the use of EA and increased IAD rate (OR = 0.81; 95% CI, 0.60–1.09).
Conclusions: Labor EA did not increase the incidence of IAD and the risk of adverse neonatal outcomes, but was associated with prolonged first and second stages of labor.
Keywords: Epidural analgesia; Instrumental assisted delivery; Vacuum extraction Epidural analgesia; Instrumental assisted delivery; Vacuum extraction
MDPI and ACS Style

Rimaitis, K.; Klimenko, O.; Rimaitis, M.; Morkūnaitė, A.; Macas, A. Labor epidural analgesia and the incidence of instrumental assisted delivery. Medicina 2015, 51, 76-80.

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