The influence of epidural analgesic techniques on obstetrical outcomes

Purpose The aim of this study is to compare and evaluate the obstetrical differences between three techniques, including the programmed intermittent epidural bolus (PIEB), the patient-controlled epidural analgesia (PCEA), and the continuous epidural analgesia (CEA). Methods This is a retrospective c...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2024-11, Vol.310 (5), p.2399-2403
Main Authors: Wiesmann, Christian, Horky, Alex, Hentrich, Anna, Bahlmann, Franz, Louwen, Frank, Al Naimi, Ammar
Format: Article
Language:English
Subjects:
Adult
Analgesia, Epidural - methods
Analgesia, Obstetrical - adverse effects
Analgesia, Obstetrical - methods
Analgesia, Patient-Controlled - methods
Cesarean section
Cesarean Section - statistics & numerical data
Childbirth & labor
Delivery, Obstetric - methods
Delivery, Obstetric - statistics & numerical data
Endocrinology
Epidural
Female
Gynecology
Human Genetics
Humans
Labor, Obstetric
Maternal-Fetal Medicine
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Oxytocin - administration & dosage
Perineum - injuries
Pregnancy
Retrospective Studies
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Summary:Purpose The aim of this study is to compare and evaluate the obstetrical differences between three techniques, including the programmed intermittent epidural bolus (PIEB), the patient-controlled epidural analgesia (PCEA), and the continuous epidural analgesia (CEA). Methods This is a retrospective cohort study that investigates the obstetrical outcomes of 2240 patients who received EA during labor in a tertiary maternal unit over the course of 9 years (2011–2018). The only inclusion criterion was the use of epidural analgesia during childbirth and the only exclusion criteria were multiplets’ gestation. Multivariate logistic regression, Kruskal–Wallis test, and the log-rank test were utilized to compare the differences between the three EA techniques in terms of cesarean section rate, the incidence of perineal tears, the use of Oxytocin, the duration of labor, and the incidence of paresthesia. Results Out of the 2240 included deliveries; 1084 utilized PIEB, 1086 PCEA, and 70 CEA techniques. The incidence of Cesarean section was the highest in the CEA group (45.7%) compared to PIEB (24.8%) and PCEA (24.4%) P  
ISSN:1432-0711
0932-0067
1432-0711
DOI:10.1007/s00404-024-07591-2