Effect of epidural analgesia on cesarean section in nulliparous women.
- Author:
Yong In KANG
1
;
Byeong Kuk KIM
;
Eun Chi BANG
;
Su Yeon KIM
;
Hyun Sook LEE
;
Kyoung Sook CHO
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, CHA University, Seoul, Korea. anein09@naver.co.kr
- Publication Type:Original Article
- Keywords:
Cesarean section;
Epidural analgesia
- MeSH:
Amides;
Analgesia, Epidural;
Cesarean Section;
Female;
Fentanyl;
Fetal Distress;
Humans;
Nalbuphine;
Pregnancy;
Retrospective Studies;
Vacuum
- From:Anesthesia and Pain Medicine
2010;5(1):75-78
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The effect of epidural analgesia for labor on obstetric outcome is controversial. The purpose of this study is evaluating the influence of epidural analgesia on cesarean section in nulliparous women. METHODS: We retrospectively investigated 979 nulliparous women ASA graded I - II. EPI (n = 230) was received epidural analgesia with 0.2% ropivacaine and 75microgram fentanyl. N-EPI (n = 749) was received no epidural analgesia but nalbuphine 10 mg intramuscularly. We compared the rate and causes of cesarean section, instrumental delivery rate and fetal outcomes between EPI and N-EPI. RESULTS: Cesarean section rate was not different between the EPI (18%) and N-EPI (23%). Causes of cesarean section were progress failure (83% in EPI and 80% in N-EPI) and fetal distress (17% in EPI and 20% in N-EPI) and there were no differences between two groups. Instrumental delivery rate was higher in EPI (8%) than N-EPI (5%). Fetal outcome was not different between two groups. CONCLUSIONS: Epidural analgesia did not increase cesarean section rate and did not influence on causes of cesarean section. But epidural analgesia increased the vacuum delivery rate.
