Epidural Analgesia During Labor: Impact on Delivery Outcome, Neonatal Well-Being, and Early Breastfeeding

2012 ◽  
Vol 7 (4) ◽  
pp. 262-268 ◽  
Author(s):  
Salvatore Gizzo ◽  
Stefania Di Gangi ◽  
Carlo Saccardi ◽  
Tito Silvio Patrelli ◽  
Gianluca Paccagnella ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Well Being ◽  
Delivery Outcome ◽  
Labor Impact

scholarly journals Combined spinal–epidural analgesia in labour: its effects on delivery outcome

2016 ◽  
Vol 66 (3) ◽  
pp. 259-264 ◽  
Author(s):  
Suneet Kaur Sra Charanjit Singh ◽  
Nurlia Yahya ◽  
Karis Misiran ◽  
Azlina Masdar ◽  
Nadia Md Nor ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Delivery Outcome ◽  
Combined Spinal Epidural ◽  
Spinal Epidural

scholarly journals The childbirth experience: obstetric and psychological predictors in Italian primiparous women

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Valentina Fenaroli ◽  
Sara Molgora ◽  
Serena Dodaro ◽  
Alessandro Svelato ◽  
Livia Gesi ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Subjective Experience ◽  
Emotional Experience ◽  
Well Being ◽  
Birth Experience ◽  
Negative Experience ◽  
Psychological Variables ◽  
Prospective Longitudinal Study ◽  
Italian Women ◽  
Prospective Longitudinal

Abstract Background The experience of childbirth crucially impacts a mother’s psychological well-being and the mother-infant relationship. It is recognised that negative births can be linked to different forms of discomfort, both for the mother as well as for the infant. This prospective longitudinal study aimed to study the effect of obstetric and psychological variables on women’s subjective experience of childbirth. Methods 111 primiparous Italian women completed a set of questionnaires at 38–40 weeks of pregnancy (Time 1) and 1–5 days after childbirth (Time 2). Sociodemographic and obstetric information were collected. Data about the childbirth were obtained from the mother’s ward birth records. Women completed the Wijma Delivery Expectancy/Experience Questionnaire both before and after childbirth. Results The subjective experience of birth was significantly predicted by the duration of the expulsive phase (β = .26; p < .05), the use of epidural analgesia (β = .21;  p< .05) and by fear of birth (β = .21; p < .05). The effect of mode of birth and duration of the dilatation phase on women’s birth experience was not found. Conclusions In our study, neither instrumental childbirth nor caesarean section have a significant effect on women’s birth experience. Instead, both a longer expulsion phase and epidural analgesia contribute to the negative experience. Moreover, the higher the fear of birth, the worse the women’s emotional experience. These findings confirmed the role of obstetric and psychological variables on birth experience. More investigation about this topic could be useful to develop specific interventions to prepare women for birth.

The Effect of Epidural Analgesia Alone and in Association With Other Variables on the Risk of Cesarean Section

2017 ◽  
Vol 19 (4) ◽  
pp. 393-398 ◽  
Author(s):  
Antonio Herrera-Gómez ◽  
Elvira De Luna-Bertos ◽  
Javier Ramos-Torrecillas ◽  
Francisco Manuel Ocaña-Peinado ◽  
Olga García-Martínez ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Epidural Analgesia ◽  
Cesarean Delivery ◽  
Maternal Age ◽  
Well Being ◽  
Labor Pain ◽  
Cesarean Deliveries ◽  
Increased Risk ◽  
Newborn Weight ◽  
Fetal Position

Introduction: Epidural analgesia (EA) is the most widespread pharmacologic method of labor pain relief. There remains disagreement, however, regarding its adverse effects. The objective of this study was to determine the effect of EA administration on the risk of cesarean delivery and its causes (e.g., stalled labor, risk of loss of fetal well-being, among others) and the degree to which this effect may be modulated by mother-, newborn-, and labor-related variables. Method: A retrospective cohort observational study was conducted including all deliveries in a Spanish public hospital between March 2010 and March 2013 ( N = 2,450; EA = 562, non-EA = 1,888). Results: Risk of a cesarean section was significantly increased by EA administration (odds ratio [ OR] = 2.673; p < .0001). The percentage of cesarean deliveries due to the risk of loss of fetal well-being was significantly higher in the EA (47.8%) versus non-EA group (27.5%; OR = 1.739; p = 0.0012,). The EA-associated risk of cesarean section was not significantly modified as a function of maternal age or parity, fetal position, newborn weight, weeks of gestation, or sedation administration alone. However, these variables in combination may increase the risk. We present multivariate models for each group that account for these variables, allowing for estimation of the risk of a cesarean delivery if EA is administered. Conclusion: EA is associated with an increased risk of cesarean delivery. Other variables in combination (maternal age or parity, fetal position, newborn weight, weeks of gestation, or sedation administration) may increase this risk.

Risk Assessments of Epidural Analgesia During Labor and Delivery

2017 ◽  
Vol 27 (7) ◽  
pp. 841-852
Author(s):  
Antonio Herrera-Gómez ◽  
Elvira De Luna-Bertos ◽  
Javier Ramos-Torrecillas ◽  
Francisco M. Ocaña-Peinado ◽  
Concepción Ruiz ◽  
...  
Keyword(s):  
Health Care ◽  
Epidural Analgesia ◽  
Retrospective Cohort ◽  
Well Being ◽  
Labor Pain ◽  
Risk Assessments ◽  
Perineal Laceration ◽  
Increased Risk ◽  
Spanish Hospital ◽  
Mother And Child

Epidural analgesia (EA) is one of the methods of choice for labor pain relief, but its adverse effects on the mother and child remain controversial. The objective of this study was to determine whether there is an association between the use of EA and different aspects of labor. The author(s) analyzed the effect of EA on different aspects of labor in a retrospective cohort observational study of deliveries in a public Spanish hospital during a 3-year period. Women with EA administration were found to increase the risk of stimulated labor, reduce the percentage of spontaneous deliveries, increase the risk of instrumental labor due to stalled labor or loss of fetal well-being, and increase the percentage of episiotomies. However, women with EA were not and increased risk for perineal laceration or the condition of the membranes at the delivery or with the type of placental expulsion. Thus, the administration of EA should be assessed in each case by the health care professional.

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