Determinants of labor epidural analgesia uptake and associations with maternal-neonatal outcomes: a stratified cohort study with risk prediction modeling

Key Points

• The study examines how maternal age, parity, and coagulation status affect the decision to use epidural analgesia and its associated outcomes.
• Conducted a cohort study to analyze factors influencing epidural uptake.
• Assessed maternal age, parity, and coagulation status as key determinants.
• Evaluated maternal-neonatal outcomes in relation to epidural analgesia use.
• Epidural analgesia is chosen based on maternal age and parity.
• No increase in postpartum hemorrhage was associated with epidural use.
• Assessing coagulation function can enhance individualized labor management.