The course of labor with and without epidural analgesia

American Journal of Obstetrics and Gynecology
J M AlexanderK J Leveno

Abstract

Our purpose was to measure effects of epidural analgesia on labor compared with boluses of meperidine in a cohort of women with similar clinical circumstances. One hundred ninety-nine nulliparous women who were delivered spontaneously at term and who received oxytocin for labor augmentation before the initiation of analgesia were identified for analysis. All these women were managed in a low-risk labor unit according to a standardized protocol. This management protocol encouraged early amniotomy and the use of oxytocin when ineffective labor was diagnosed. The demographic characteristics of the two study groups were similar with respect to age, height, weight, and maternal age. The two groups had the same cervical dilatation on admission (3.3 cm) and at the time of analgesia administration (4.1 vs 4.2 cm), indicating similar progress of labor before oxytocin administration. The length of the active phase of labor was longer in the epidural group (7.9 vs 6.3 hours, p = 0.005), as was the second stage (60 vs 48 minutes, p = 0.03). The mean and maximal rates of oxytocin infusion were similar between the two study groups; however, the amount of oxytocin required for each centimeter of cervical change was more in the epidural group ...Continue Reading

References

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Citations

Mar 12, 2010·Journal of Perinatology : Official Journal of the California Perinatal Association·M L ChichesterP A Shlossman
Jul 31, 2012·Neurologic Clinics·Olajide Kowe, Jonathan H Waters
Apr 6, 2000·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·M A Faucher, M C Brucker
Nov 25, 2011·Birth·Lena Mariann EriksenHanne Kjaergaard
Jun 28, 2000·American Journal of Obstetrics and Gynecology·D M MainD H Moore
Jun 18, 2002·American Journal of Obstetrics and Gynecology·Catalin S BuhimschiCarl P Weiner
Aug 3, 2001·American Journal of Obstetrics and Gynecology·J ZhangD Schweitzer
Feb 11, 1999·The Journal of the American Association of Gynecologic Laparoscopists·M E CarleyJ M Alexander
Jun 19, 2018·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·Fatemeh Ahadi YulghunluHamideh Mohaddesi
Oct 26, 2000·The Journal of Obstetrics and Gynaecology Research·E W LeongY K Chan
Feb 4, 2006·Clinical Obstetrics and Gynecology·Catalin S Buhimschi, Irina A Buhimschi
Feb 12, 2004·Drugs·Nanda Gopal Mandal, Sridhar Surapaneni
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Nov 26, 1999·Clinical Obstetrics and Gynecology·J A Thorp
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Oct 12, 2020·American Journal of Obstetrics and Gynecology·Hulda HjartardóttirTorbjørn M Eggebø
Mar 30, 2000·Primary Care·M B StephensS A Fields

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