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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (3): 443-446    DOI: 10.12891/ceog4698.2019
Original Research Previous articles | Next articles
Factors for predicting cesarean section during epidural analgesia: a retrospective study
L. Wang1, *(), N. Zhao1, J. Zhou2, M. Xu1
1Department of Anesthesia, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China
2Department of Anesthesia, Department of Anesthesiology Perioperative and Pain Medicine Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, U.S.A.
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Abstract  

Purpose of investigation: To explore the risk factors for cesarean section during trial of labor with epidural analgesia. Materials and methods: A total of 100 parturients who received epidural analgesia were selected for this study. Fifty parturients underwent vaginal deliveries and 50 parturients underwent cesarean sections. Patient-controlled epidural analgesia (PCEA) was carried out with the continuous infusion of 0.125% bupivacaine and 2 mcg/ml fentanyl at 6 ml/h with patient-controlled analgesia (6 ml/time, locked time 15 minutes). Results: The univariate analysis showed a significant difference in the gestational age of parturients between cesarean section and vaginal delivery (p = 0.013). Compared with the parturients in the vaginal delivery group, cesarean section group parturients showed longer interval time from epidural analgesia to cesarean section (p < 0.001), a higher number of analgesia interventions (p < 0.001), higher doses of PCEA (p < 0.001), and higher number of top-ups (p = 0.015). Multivariate analysis revealed that a high gestational age and long interval time were strongly associated with a high possibility of cesarean section during epidural analgesia. Conclusion: High gestational age and long interval time are important risk factors for the prediction of cesarean section during epidural analgesia.

Key words:  Labor      Epidural analgesia      Cesarean section      Vaginal delivery     
Published:  10 June 2019     
*Corresponding Author(s):  L. WANG     E-mail:  wanglin7702@sina.com

Cite this article: 

L. Wang, N. Zhao, J. Zhou, M. Xu. Factors for predicting cesarean section during epidural analgesia: a retrospective study. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(3): 443-446.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4698.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I3/443

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