Incidence and Factors Involving Cesarean Delivery After Epidural Analgesia for Labor

  • STATUS
    Recruiting
  • End date
    Dec 31, 2022
  • participants needed
    226
  • sponsor
    Mahidol University
Updated on 15 September 2021
analgesia

Summary

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.

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.

Details
Condition caesarean sections, Cesarean section, c-section, epidural block, Epidural Anesthesia, caesarean section, caesarian sections, cesarean delivery, caesarean delivery
Clinical Study IdentifierNCT04074005
SponsorMahidol University
Last Modified on15 September 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

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

Exclusion Criteria

Unable to communicate Thai
Clear my responses

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