Format

Send to

Choose Destination
See comment in PubMed Commons below
Am J Obstet Gynecol. 1993 Oct;169(4):851-8.

The effect of intrapartum epidural analgesia on nulliparous labor: a randomized, controlled, prospective trial.

Author information

1
Department of Obstetrics and Gynecology, St. Luke's Hospital, Kansas City, MO.

Abstract

OBJECTIVE:

Our purpose was to determine the effect of epidural analgesia on nulliparous labor and delivery.

STUDY DESIGN:

Normal term nulliparous women in early spontaneous labor were randomized to receive either narcotic or epidural analgesia.

RESULTS:

When compared with the group receiving narcotic analgesia (n = 45), the group receiving epidural analgesia (n = 48) had a significant prolongation in the first and second stages of labor, an increased requirement for oxytocin augmentation, and a significant slowing in the rate of cervical dilatation. Epidural analgesia was associated with a significant increase in malposition (4.4% vs 18.8%, p < 0.05). Cesarean delivery occurred more frequently in the epidural group (2.2% vs 25%, p < 0.05), primarily related to an increase in cesarean section for dystocia (2.2% vs 16.7%, p < 0.05).

CONCLUSIONS:

In a randomized, controlled, prospective trial epidural analgesia resulted in a significant prolongation in the first and second stages of labor and a significant increase in the frequency of cesarean delivery, primarily related to dystocia.

PMID:
8238138
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center