PMID: 11926643Apr 3, 2002Paper

The impact of intrapartum analgesia on labour and delivery outcomes in nulliparous women

The Australian & New Zealand Journal of Obstetrics & Gynaecology
J E DickinsonS F Evans

Abstract

To determine if nulliparous women intending to have epidural analgesia have a similar labour profile and delivery outcome to women who intend to have their labour managed using alternative forms of pain relief. A prospective randomised controlled clinical trial conducted at a tertiary obstetric institution. Nulliparous women intending to deliver vaginally with a term singleton fetus were eligible for recruitment. 1159 women were recruited, of whom 992 were subsequently randomised to receive continuous midwifery support (CMS) or epidural analgesia (EPI) on presentation for delivery. The duration of labour was shorter in the CMS group compared with EPI (10.7 hours (inter quartile (IQ) 7.0,15.2) versus 11.4 hours (IQ 8.2,15.2), p = 0.039). The median duration of the first stage was 8.9 hours (IQ 6,12.5) versus 9.5 hours (IQ 7,12.7) (p = 0.069), and the median duration of the second stage was 1.33 hours (IQ 0.6,2.5) versus 1.48 hours (IQ 0.77,2.6) (p = 0.034). The requirement for oxytocin augmentation in spontaneous labour was 39.8% CMS versus 46.2% EPI (p = 0.129). There was no significant difference in the caesarean section rates. The need for any operative delivery was significantly lower in CMS (43.9% CMS versus 51.5% EPI, p = ...Continue Reading

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Citations

Jul 7, 2007·Reproductive Health·Odalea M BruggemannAntonio S Carvalhinho Neto
Sep 7, 2006·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Christopher E P OrlikowskiElizabeth Nathan
Oct 20, 2006·International Journal of Nursing Studies·Carol HindleyAnn M Thomson
Jan 17, 2015·Journal of Clinical Epidemiology·Melanie Bannister-TyrrellJane B Ford
Jan 14, 2004·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Jennifer J HendersonMichael J Paech
Jan 10, 2004·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Jan E DickinsonSharon F Evans
May 22, 2018·The Cochrane Database of Systematic Reviews·Millicent Anim-SomuahAnna Cuthbert
Jul 13, 2013·The Cochrane Database of Systematic Reviews·Philippa L Costley, Christine E East
Jul 30, 2004·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Amanda Henry, Swaran L Nand
Feb 28, 2006·Birth·Michael C Klein
Sep 10, 2003·CNS Drugs·Peter DeBalli, Terrance W Breen
Apr 9, 2015·Clinical Obstetrics and Gynecology·Yvonne W Cheng, Aaron B Caughey
Dec 14, 2011·The Cochrane Database of Systematic Reviews·Millicent Anim-SomuahLeanne Jones
Sep 1, 2017·BMC Pregnancy and Childbirth·Tamar Kabakian-Khasholian, Anayda Portela
Jul 7, 2017·The Cochrane Database of Systematic Reviews·Meghan A BohrenAnna Cuthbert

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