Epidurals and the Modern Labor Curve: How Epidural Timing Impacts Fetal Station during Active Labor
| Autor: | Alison G. Cahill, Adam K. Lewkowitz, Molly J. Stout, Methodius G. Tuuli, Kimberly A. Roehl, George A. Macones, Candice Woolfolk |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Adolescent Logistic regression 03 medical and health sciences Young Adult 0302 clinical medicine Interquartile range Pregnancy Secondary analysis Medicine Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Pain Measurement Labor Pain Fetal Station 030219 obstetrics & reproductive medicine business.industry Obstetrics Obstetrics and Gynecology Active Labor medicine.disease Delivery Obstetric Analgesia Epidural Parity Logistic Models Pediatrics Perinatology and Child Health Multivariate Analysis Analgesia Obstetrical Labor Onset Female business |
| Zdroj: | American journal of perinatology. 35(5) |
| ISSN: | 1098-8785 |
| Popis: | Objective The objective of this study was to estimate epidural timing's impact on fetal station during active labor. Study Design This secondary analysis of a single-institution prospective cohort study included all term singleton pregnancies, stratified by parity. Those with early epidurals (placed at 95%). Multivariable logistic regression adjusted for labor type. Results Among 7,647 women, 3,434 were nulliparous (2,983 with early epidurals and 451 with late epidurals) and 4,213 multiparous (3,141 with early epidurals and 1,072 with late epidurals). Interquartile ranges (IQRs) suggested fetal station at 6 cm was likely lower among those with early epidurals (nulliparous: median head station −1 [IQR: −1 to 0] for early epidural vs. −1 [IQR: −2 to 0] for late epidural, p Conclusion Early epidurals were associated with lower fetal station in active labor but not prolonged first stage. |
| Databáze: | OpenAIRE |
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