{"title":"早期硬膜外镇痛对分娩过程的影响。","authors":"Atene Simanauskaite, Gabriele Kavaliauskaite, Justina Kacerauskiene, Vilda Vilimiene","doi":"10.3390/medicina61040750","DOIUrl":null,"url":null,"abstract":"<p><p><i>Background and Objectives</i>: This study aimed to assess the impact of early epidural analgesia (EA) on the progression of labor and delivery outcomes among nulliparous women. <i>Materials and Methods</i>: A retrospective analysis was conducted utilizing data from the Birth Registry of the Department of Obstetrics and Gynecology at LUHS. The dataset encompassed women who underwent childbirth between 1 January 2021 and 31 December 2021 and who received EA for labor pain management. A total of 89 women with low-risk deliveries and EA were included in the study. The cohort was divided into two groups: Group I-parturients who underwent early EA with cervical dilatation ≤3 cm-and Group II-parturients who underwent EA with cervical dilatation >3 cm but <7 cm. The results were processed using IBM SPSS. <i>Results</i>: Group I consisted of 25 (28.1%) women and Group II consisted of 64 (71.9%). The prevalence of obesity was higher in Group II (<i>p</i> = 0.021). Bishop score was statistically elevated in Group II (<i>p</i> = 0.018). Upon hospital admission, Group II exhibited greater cervical dilation (<i>p</i> = 0.001). The rate of cervical dilation was higher in Group II at 1.54 cm/h (<i>p</i> = 0.033). Episiotomy was more frequently performed in Group II (<i>p</i> = 0.014). The average durations of the first stage of labor (<i>p</i> = 0.045), the second stage of labor (<i>p</i> = 0.033), and the overall labor (<i>p</i> = 0.023) were prolonged in Group I. <i>Conclusions</i>: The cervical dilation up to 10 cm occurs at a swifter pace when EA is administered following cervical dilation exceeding 3 cm. Notable associations were observed between EA and the incidence of episiotomy as well as the duration of labor stages. Early EA exhibited no impact on neonatal outcomes.</p>","PeriodicalId":49830,"journal":{"name":"Medicina-Lithuania","volume":"61 4","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12028361/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Impact of Early Epidural Analgesia on the Course of Labor and Delivery.\",\"authors\":\"Atene Simanauskaite, Gabriele Kavaliauskaite, Justina Kacerauskiene, Vilda Vilimiene\",\"doi\":\"10.3390/medicina61040750\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><i>Background and Objectives</i>: This study aimed to assess the impact of early epidural analgesia (EA) on the progression of labor and delivery outcomes among nulliparous women. <i>Materials and Methods</i>: A retrospective analysis was conducted utilizing data from the Birth Registry of the Department of Obstetrics and Gynecology at LUHS. The dataset encompassed women who underwent childbirth between 1 January 2021 and 31 December 2021 and who received EA for labor pain management. A total of 89 women with low-risk deliveries and EA were included in the study. The cohort was divided into two groups: Group I-parturients who underwent early EA with cervical dilatation ≤3 cm-and Group II-parturients who underwent EA with cervical dilatation >3 cm but <7 cm. The results were processed using IBM SPSS. <i>Results</i>: Group I consisted of 25 (28.1%) women and Group II consisted of 64 (71.9%). The prevalence of obesity was higher in Group II (<i>p</i> = 0.021). Bishop score was statistically elevated in Group II (<i>p</i> = 0.018). Upon hospital admission, Group II exhibited greater cervical dilation (<i>p</i> = 0.001). The rate of cervical dilation was higher in Group II at 1.54 cm/h (<i>p</i> = 0.033). Episiotomy was more frequently performed in Group II (<i>p</i> = 0.014). The average durations of the first stage of labor (<i>p</i> = 0.045), the second stage of labor (<i>p</i> = 0.033), and the overall labor (<i>p</i> = 0.023) were prolonged in Group I. <i>Conclusions</i>: The cervical dilation up to 10 cm occurs at a swifter pace when EA is administered following cervical dilation exceeding 3 cm. Notable associations were observed between EA and the incidence of episiotomy as well as the duration of labor stages. Early EA exhibited no impact on neonatal outcomes.</p>\",\"PeriodicalId\":49830,\"journal\":{\"name\":\"Medicina-Lithuania\",\"volume\":\"61 4\",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-04-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12028361/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medicina-Lithuania\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3390/medicina61040750\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicina-Lithuania","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3390/medicina61040750","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
The Impact of Early Epidural Analgesia on the Course of Labor and Delivery.
Background and Objectives: This study aimed to assess the impact of early epidural analgesia (EA) on the progression of labor and delivery outcomes among nulliparous women. Materials and Methods: A retrospective analysis was conducted utilizing data from the Birth Registry of the Department of Obstetrics and Gynecology at LUHS. The dataset encompassed women who underwent childbirth between 1 January 2021 and 31 December 2021 and who received EA for labor pain management. A total of 89 women with low-risk deliveries and EA were included in the study. The cohort was divided into two groups: Group I-parturients who underwent early EA with cervical dilatation ≤3 cm-and Group II-parturients who underwent EA with cervical dilatation >3 cm but <7 cm. The results were processed using IBM SPSS. Results: Group I consisted of 25 (28.1%) women and Group II consisted of 64 (71.9%). The prevalence of obesity was higher in Group II (p = 0.021). Bishop score was statistically elevated in Group II (p = 0.018). Upon hospital admission, Group II exhibited greater cervical dilation (p = 0.001). The rate of cervical dilation was higher in Group II at 1.54 cm/h (p = 0.033). Episiotomy was more frequently performed in Group II (p = 0.014). The average durations of the first stage of labor (p = 0.045), the second stage of labor (p = 0.033), and the overall labor (p = 0.023) were prolonged in Group I. Conclusions: The cervical dilation up to 10 cm occurs at a swifter pace when EA is administered following cervical dilation exceeding 3 cm. Notable associations were observed between EA and the incidence of episiotomy as well as the duration of labor stages. Early EA exhibited no impact on neonatal outcomes.
期刊介绍：
The journal’s main focus is on reviews as well as clinical and experimental investigations. The journal aims to advance knowledge related to problems in medicine in developing countries as well as developed economies, to disseminate research on global health, and to promote and foster prevention and treatment of diseases worldwide. MEDICINA publications cater to clinicians, diagnosticians and researchers, and serve as a forum to discuss the current status of health-related matters and their impact on a global and local scale.
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