TY - JOUR
T1 - Effect of epidural analgesia on duration and outcome of induced labor
AU - Rojansky, N.
AU - Tanos, V.
AU - Reubinoff, B.
AU - Shapira, S.
AU - Weinstein, D.
PY - 1997
Y1 - 1997
N2 - Objective: To evaluate the effect of epidural block on the duration of labor and maternal and fetal outcome in induced-labor patients. Method: 210 women admitted for induction of labor at a level III university hospital, during the year 1991, were studied. Of these, 112 were given an epidural block and 98 served as controls. Outcome measures studied were: induction time and time in labor, c-section and instrumental delivery rates, intra-partum and post-partum complications, and Apgar scores at 1 and 5 min. Result: Multiple regression analysis revealed that epidural analgesia, before and after adjustment for confounding factors, significantly prolonged labor time (P < 0.0001) and was associated with an increase in instrumental delivery rates (P < 0.04). A significant reduction in intra-partum complication rate (FHR changes, meconium) was observed (OR = 0.32; P < 0.03), while c-section rate and Apgar scores were not found to be influenced by epidural analgesia. Conclusion: Epidural anesthesia, significantly prolongs labor time in induced patients. While instrumental delivery was more prevalent in these parturients, c-section rate was not increased and intra-partum complications were significantly reduced in these patients.
AB - Objective: To evaluate the effect of epidural block on the duration of labor and maternal and fetal outcome in induced-labor patients. Method: 210 women admitted for induction of labor at a level III university hospital, during the year 1991, were studied. Of these, 112 were given an epidural block and 98 served as controls. Outcome measures studied were: induction time and time in labor, c-section and instrumental delivery rates, intra-partum and post-partum complications, and Apgar scores at 1 and 5 min. Result: Multiple regression analysis revealed that epidural analgesia, before and after adjustment for confounding factors, significantly prolonged labor time (P < 0.0001) and was associated with an increase in instrumental delivery rates (P < 0.04). A significant reduction in intra-partum complication rate (FHR changes, meconium) was observed (OR = 0.32; P < 0.03), while c-section rate and Apgar scores were not found to be influenced by epidural analgesia. Conclusion: Epidural anesthesia, significantly prolongs labor time in induced patients. While instrumental delivery was more prevalent in these parturients, c-section rate was not increased and intra-partum complications were significantly reduced in these patients.
KW - Cesarean section
KW - Epidural anesthesia
KW - Fetal outcome
KW - Induction of labor
KW - Labor complications
KW - Labor duration
UR - http://www.scopus.com/inward/record.url?scp=0030937719&partnerID=8YFLogxK
U2 - 10.1016/S0020-7292(96)02804-4
DO - 10.1016/S0020-7292(96)02804-4
M3 - Article
C2 - 9127155
AN - SCOPUS:0030937719
SN - 0020-7292
VL - 56
SP - 237
EP - 244
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 3
ER -