Effects of combined spinal-epidural analgesia on first stage of labor: a cohort study

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Silvia PomaGiorgio Antonio Iotti

Abstract

Background: Neuraxial anesthesia is considered as the gold standard in the control labor of pain. Its variants are epidural analgesia and combined spinal-epidural analgesia. Few studies, as yet, have investigated the duration of labor as a primary outcome. Some authors have suggested that combined spinal-epidural analgesia may reduce labor duration but at the moment the benefit of shortening labor is uncertain. The main aim of this study was to compare combined spinal-epidural with epidural analgesia in terms of their effect on duration of stage I labor, maternal, and neonatal outcomes. Methods: A prospective cohort study was conducted. Parturients who requested analgesia at cervical dilatation <6 cm were included. Analgesia was either epidural with low concentration levobupivacaine or combined spinal epidural with subarachnoid sufentanil. The primary outcome was the length of stage I labor. Onset and quality of analgesia, mode of delivery, effects on uterine activity and use of oxytocin, fetal heart rate abnormalities and uterine hyperkinesia, maternal, and neonatal complications were also considered. Results: We enrolled 400 patients: 176 in the combined spinal-epidural group and 224 in the epidural group. Patients in the two...Continue Reading

References

Sep 1, 1983·American Journal of Obstetrics and Gynecology·S M ShniderG Levinson
May 1, 1996·Anesthesia and Analgesia·N SuzukiM Takasaki
Jun 1, 1997·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M CascioS Ramanathan
Oct 13, 1998·Anesthesia and Analgesia·S SegalS Datta
Oct 22, 2002·American Journal of Obstetrics and Gynecology·Jun ZhangMichael K Yancey
Feb 18, 2005·The New England Journal of Medicine·Cynthia A WongSharon Grouper
Mar 15, 2006·Current Opinion in Anaesthesiology·Marc Van de Velde
Mar 22, 2008·American Journal of Obstetrics and Gynecology·Edward J Hayes, Louis Weinstein
Mar 13, 2010·Current Opinion in Anaesthesiology·Stephen H Halpern, Faraj W Abdallah
Jun 17, 2011·The Journal of Obstetrics and Gynaecology Research·Maria Grazia FrigoDanilo Celleno
Jul 15, 2011·Journal of Immigrant and Minority Health·Antwan Jones
Aug 9, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Pervez SultanBrendan Carvalho
Aug 5, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·En GrantK Leveno

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