Why the study?
Does 0.25% bupivacaine compared to >0.25% bupivacaine reduce the requirement for forceps delivery in primiparae given epidural analgesia in labour?
Population
383 consecutive primiparae given epidural analgesia in labour
Comparison
0.25% bupivacaine throughout labour (n=122) vs More than 0.25% bupivacaine at any stage during…
Design
Cohort
Follow-up
During labour and delivery
Authors
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May support lower bupivacaine concentrations to reduce forceps use; leaves open causality pending randomized confirmation.
Does 0.25% bupivacaine compared to >0.25% bupivacaine reduce the requirement for forceps delivery in primiparae given epidural analgesia in labour?
Using a lower concentration of bupivacaine (0.25%) for epidural analgesia in primiparae reduces the incidence of forceps deliveries compared to higher concentrations.
Turner et al. (1988) studied this question.
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