Obstetric outcomes and maternal satisfaction in nulliparous women using patient-controlled epidural analgesia

2011 ◽  
Vol 205 (3) ◽  
pp. 271.e1-271.e6 ◽  
Author(s):  
Michael L. Haydon ◽  
David Larson ◽  
Enrique Reed ◽  
Vineet K. Shrivastava ◽  
Christine W. Preslicka ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Obstetric Outcomes ◽  
Maternal Satisfaction ◽  
Nulliparous Women

28: Obstetric outcomes and maternal satisfaction using patient controlled epidural analgesia in nulliparous women

2011 ◽  
Vol 204 (1) ◽  
pp. S17
Author(s):  
Michael Haydon ◽  
David Larson ◽  
Enrique Reed ◽  
Vineet Shrivastava ◽  
Christine Preslicka ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Obstetric Outcomes ◽  
Maternal Satisfaction ◽  
Nulliparous Women

scholarly journals A Randomized, Double-masked, Multicenter Comparison of the Safety of Continuous Intrathecal Labor Analgesia Using a 28-Gauge Catheter versus  Continuous Epidural Labor Analgesia

2008 ◽  
Vol 108 (2) ◽  
pp. 286-298 ◽  
Author(s):  
Valerie A. Arkoosh ◽  
Craig M. Palmer ◽  
Esther M. Yun ◽  
Shiv K. Sharma ◽  
James N. Bates ◽  
...  
Keyword(s):  
Pain Relief ◽  
Epidural Analgesia ◽  
Multicenter Trial ◽  
Labor Analgesia ◽  
Obstetric Outcomes ◽  
Neurologic Complication ◽  
Maternal Satisfaction ◽  
Intrathecal Catheter ◽  
Continuous Epidural Analgesia ◽  
Intrathecal Analgesia

Background Continuous intrathecal labor analgesia produces rapid analgesia or anesthesia and allows substantial flexibility in medication choice. The US Food and Drug Administration, in 1992, removed intrathecal microcatheters (27-32 gauge) from clinical use after reports of neurologic injury in nonobstetric patients. This study examined the safety and efficacy of a 28-gauge intrathecal catheter for labor analgesia in a prospective, randomized, multicenter trial. Methods Laboring patients were randomly assigned to continuous intrathecal analgesia with a 28-gauge catheter (n = 329) or continuous epidural analgesia with a 20-gauge catheter (n = 100), using bupivacaine and sufentanil. The primary outcome was the incidence of neurologic complications, as determined by masked neurologic examinations at 24 and 48 h postpartum, plus telephone follow-up at 7-10 and 30 days after delivery. The secondary outcomes included adequacy of labor analgesia, maternal satisfaction, and neonatal status. Results No patient had a permanent neurologic change. The continuous intrathecal analgesia patients had better early analgesia, less motor blockade, more pruritus, and higher maternal satisfaction with pain relief at 24 h postpartum. The intrathecal catheter was significantly more difficult to remove. There were no significant differences between the two groups in neonatal status, post-dural puncture headache, hemodynamic stability, or obstetric outcomes. Conclusions Providing intrathecal labor analgesia with sufentanil and bupivacaine via a 28-gauge catheter has an incidence of neurologic complication less than 1%, and produces better initial pain relief and higher maternal satisfaction, but is associated with more technical difficulties and catheter failures compared with epidural analgesia.

The effect of epidural analgesia on labor progress and outcome in nulliparous women

2008 ◽  
Vol 21 (8) ◽  
pp. 517-521 ◽  
Author(s):  
Hanny Pal O'Hana ◽  
Amalia Levy ◽  
Amit Rozen ◽  
Lev Greemberg ◽  
Yoram Shapira ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Nulliparous Women

Accidental dural puncture during labor analgesia and obstetric outcomes in nulliparous women

2019 ◽  
Vol 38 ◽  
pp. 46-51 ◽  
Author(s):  
K. Shea ◽  
L. Choi ◽  
D. Jagannathan ◽  
K. Elterman ◽  
J. Robinson ◽  
...  
Keyword(s):  
Dural Puncture ◽  
Labor Analgesia ◽  
Obstetric Outcomes ◽  
Nulliparous Women ◽  
Accidental Dural Puncture

scholarly journals Nationwide population-based cohort study of adverse obstetric outcomes in pregnancies with myoma or following myomectomy: Retrospective cohort study

2020 ◽  
Author(s):  
Se Jin Lee ◽  
Hyun Sun Ko ◽  
Sunghun Na ◽  
Jin Young Bae ◽  
Won Joon Seong ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Section ◽  
Uterine Rupture ◽  
Placenta Previa ◽  
Multivariate Logistic Regression Analysis ◽  
Population Based ◽  
Obstetric Outcomes ◽  
Nulliparous Women ◽  
History Of ◽  
Adverse Pregnancy

Abstract Background: Our objective was to evaluate risks of adverse obstetric outcomes in pregnancies with myoma(s) or in pregnancies following myomectomy. Methods: We analyzed the national health insurance database, which covers almost the entire Korean population, between 2004 and 2015. The risks of adverse pregnancy outcomes in pregnancies with myoma(s) or in pregnancies following myomectomy, compared to those in women without a diagnosed myoma, were analyzed in multivariate logistic regression analysis. Results: During the study period, 38,402 women with diagnosed myoma(s), 9,890 women with a history of myomectomy, and 740,675 women without a diagnosed myoma gave birth. Women with a history of diagnosed myoma(s) and women with a history of myomectomy had significantly higher risks of cesarean section (aOR 1.13, 95% CI 1.1-1.16 and aOR 7.46, 95% CI 6.97-7.98, respectively) and placenta previa (aOR 1.41, 95% CI 1.29-1.54 and aOR 1.58, 95% CI 1.35-1.83, respectively), compared to women without a diagnosed myoma. And the risk of uterine rupture was significantly higher in women with previous myomectomy (aOR 12.78, 95% CI 6.5-25.13), compared to women without a diagnosed myoma, which was much increased (aOR 41.35, 95% CI 16.18-105.69) in nulliparous women. The incidence of uterine rupture was the highest at delivery within one year after myomectomy and decreased over time after myomectomy. Conclusions: Women with a history of myomectomy had significantly higher risks of cesarean section and placenta previa compared to women without a diagnosed myoma.

scholarly journals The degree of labor pain at the time of epidural analgesia in nulliparous women influences the obstetric outcome

2015 ◽  
Vol 68 (3) ◽  
pp. 249 ◽  
Author(s):  
Jae Hee Woo ◽  
Jong Hak Kim ◽  
Guie Yong Lee ◽  
Hee Jung Baik ◽  
Youn Jin Kim ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Labor Pain ◽  
Obstetric Outcome ◽  
Nulliparous Women

scholarly journals Epidural analgesia for labour pain in nulliparous women in Norway in relation to maternal country of birth and migration related factors

2020 ◽  
Vol 26 ◽  
pp. 100553 ◽  
Author(s):  
Vigdis Aasheim ◽  
Roy M. Nilsen ◽  
Eline Skirnisdottir Vik ◽  
Rhonda Small ◽  
Erica Schytt
Keyword(s):  
Epidural Analgesia ◽  
Labour Pain ◽  
Country Of Birth ◽  
Related Factors ◽  
Nulliparous Women ◽  
And Migration

Effect of Epidural Analgesia with Ambulation on Labor Duration

2001 ◽  
Vol 95 (4) ◽  
pp. 857-861 ◽  
Author(s):  
Manuel C. Vallejo ◽  
Leonard L. Firestone ◽  
Gordon L. Mandell ◽  
Francisco Jaime ◽  
Sandra Makishima ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Randomized Study ◽  
Mode Of Delivery ◽  
Vena Cava ◽  
Cervical Dilatation ◽  
Fetal Head ◽  
Chi Square ◽  
Labor Duration ◽  
Nulliparous Women ◽  
Scale Scores

Background Ambulatory epidural analgesia (AEA) is a popular choice for labor analgesia because ambulation reportedly increases maternal comfort, increases the intensity of uterine contractions, avoids inferior vena cava compression, facilitates fetal head descent, and relaxes the pelvic musculature, all of which can shorten labor. However, the preponderance of evidence suggests that ambulation during labor is not associated with these benefits. The purpose of this study is to determine whether ambulation with AEA decreases labor duration from the time of epidural insertion to complete cervical dilatation. Methods In this prospective, randomized study, 160 nulliparous women with AFA were randomly assigned to one of two groups: AEA with ambulation and AEA without ambulation. AEA blocks were initiated with 15-20 ml ropivacaine (0.07%) plus 100 microg fentanyl, followed by a continuous infusion of 0.07% ropivacaine plus 2 microg/ml fentanyl at 15-20 ml/h. Maternal measured variables included ambulation time, time from epidural insertion to complete dilatation, stage II duration, pain Visual Analogue Scale scores, and mode of delivery. APGAR scores were recorded at 1 and 5 min. Results are expressed as mean +/- SD or median and analyzed using the t test, chi-square, or the Mann-Whitney test at P < or = 0.05. Results The ambulatory group walked 25.0 +/- 23.3 min, sat upright 40.3 +/- 29.7 min, or both. Time from epidural insertion to complete dilatation was 240.9 +/- 146.1 min in the ambulatory group and 211.9 +/- 133.9 min in the nonambulatory group (P = 0.206). Conclusion Ambulatory epidural analgesia with walking or sitting does not shorten labor duration from the time of epidural insertion to complete cervical dilatation.

Sign in / Sign up

Export Citation Format

Share Document