Does Epidural Labor Analgesia Increase the Rate of Cesarean Section?

Science Insights, 22 December 2016
Volume 2016
Doi: 10.15354/si.16.ar390
 
Original Investigation
Does Epidural Labor Analgesia Increase the Rate of Cesarean Section?
A Retrospective Study
Hui Li, MD*,1; Yunhe Zhu, MD, MSc*,1; Yusheng Liu, MD, MSc*,1; Wangen Wang, MD*; Nan Wang, MD, MSc*; Shiqin Xu, MD, MPH*; Xiaofeng Shen, MD, MPH*,∆
 
Author Affiliations
*: Department of Anesthesiology, Affiliated Obstetric and Gynecological Hospital, Nanjing Medical University, Nanjing, China, 
1: These authors contributed equally to this work.
∆: Correspondence to: Dr. Xiaofeng Shen, MD, MPH, Department of Anesthesiology, Affiliated Obstetric and Gynecological Hospital, Nanjing Medical University, Nanjing, China, Email: sxf0418@126.com
 

ABSTRACT

OBJECTIVE The aim of this study was to investigate the impact of epidural analgesia on the rate of Cesarean section in nulliparous women.
METHODS Retrospectively a total of 200 nulliparous women who underwent spontaneous vaginal delivery at term with or without requesting labor analgesia were reviewed and screened. The primary outcome is the rate of Cesarean section at different cervix diameter. Others included maternal and neonatal outcomes due to epidural analgesia and drug delivery.
RESULTS The data from a total of 139 subjects were eventually included into the analysis. Significant difference in the rate of Cesarean delivery was observed amongst the two groups (7.3% in patients with epidural analgesia versus 63.4% in patients without epidural analgesia, P < 0.0001). The pain rating, oxytocin use, and patient’s satisfaction were also superior in those underwent epidural analgesia than those without analgesia. No significant differences were expressed in variables of non-reassuring fetal status.
CONCLUSIONS Epidural analgesia does not increase the rate of Cesarean section, on the contrary, it is a reliable way to reduce the rate compared with the patients who do not received the analgesia in nulliparous women.■

Keywords Epidural Analgesia; Labor Pain; Cesarean Section; Cervix; Nullipara

Sci Insigt. 2016; 2016:e00317 doi:10.15354/si.16.ar509