Author/Editor		Premru-Sršen, T
Title		Vpliv epiduralne analgezije na potek in izhod poroda
Translated title		The effect of epidural analgesia on the course and outcome of labour
Type		članek
Source		In: Vintar N, Lopuh M, editors. Zbornik predavanj 3. slovenski kongres anesteziologov Slovenije z mednarodno udeležbo; 2001 okt 11-13; Bled. Ljubljana: Slovensko zdravniško društvo, Slovensko združenje za anesteziologijo in intenzivno medicino,
Publication year		2001
Volume		str. 32-9
Language		slo
Abstract		Epidural analgesia for relieving labour pain has been associated with labour of longer duration and increased risk of cesarean or instrumental delivery. The aim of this case-controle retrospective study was to evaluate the effect of epidural analgesia on the course and outcome of labour as well as on the fetal end neonatal conditions: Between 1 January and 30 June 2000, epidural analgesia was used in, 47 parturients delivering singletons in vertex presentation at the Department of Obstetrics and Gynecology in Ljubljana. We found that in the epidural analgesia group the first stage of labour was longer (318 +- 170 vs 206 +- 100 min; p = 0.000), the amount of oxytocin used for augmentation of labour grater (3.9 +- 3.7 IU vs 1.6 +- 2.0 IU; p = 0.000) and the instrumental delivery (vacuum) rate higher, especially for arrest of labour at the pelvic floor (8.5 vs 0.0%; p = 0.04): The Cesarean delivery rate did not differ significantly between the groups (14.9 % vs 8.7 %) and neither did the fetal and neonatal conditions. Taking our initial experience into account we may conclude that epidural analgesia prolongs the labour and increases the risk of instrumental delivery, but it does neither increase the risk of -cesarean delivery nor affect the fetal and neonatal conditions.
Descriptors		ANALGESIA, OBSTETRICAL ANALGESIA, EPIDURAL PREGNANCY OUTCOME PREGNANCY