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Incidence and Factors Involving Cesarean Delivery After Epidural Analgesia for Labor

M

Mahidol University

Status

Completed

Conditions

Cesarean Section
Epidural; Anesthesia

Study type

Observational

Funder types

Other

Identifiers

NCT04074005
020/2562 (EC4)

Details and patient eligibility

About

The rate of cesarean delivery after epidural analgesia for labor has not been reported in our institute. The aim of this study is to elucidate incidence of cesarean delivery in parturient whom received epidural analgesia. Besides, factors associated with the rate of cesarean delivery were studied.

Full description

Epidural analgesia with local anesthetic and opioid is the efficiently good method to relieve labor pain comparing with intravenous opioid analgesic. Many literatures reported effects epidural analgesia for labor eg. prolonging the duration of second stage of labor, increasing the rate of instrumental delivery: vacuum extraction and forceps assisting labor. Some papers revealed the increasing in the rate of cesarean delivery. The main reason is assume to be a failure to progress labor after epidural analgesia. However, the recent report from Cochrane database systematic review showed no relation of epidural analgesia for labor and the increasing in the rate of cesarean delivery. Various factors that may involve in the increasing in the rate of cesarean delivery including the dilatation of cervix at the time of insertion of epidural catheter, nulliparous, size of the fetus or motor weakness after receiving epidural medication.

The rate of cesarean delivery after epidural analgesia for labor has not been reported in our institute. The aim of this study is to elucidate incidence of cesarean delivery in parturient whom received epidural analgesia. Besides, factors associated with the rate of cesarean delivery were studied.

Enrollment

188 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Age>,= 18 years
  • Accept epidural analgesia for labor
  • ASA classification I-II

Exclusion criteria

  • Unable to communicate Thai

Trial contacts and locations

1

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Central trial contact

Patchareya Nivatpumin, M.D.; Nuttawat Saenyasiri, M.D.

Data sourced from clinicaltrials.gov

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