Why the study?
Epidural analgesia efficiently reduces labor pain but might interfere with the natural process of giving birth, prompting evaluation of its impact on labor time, delivery method, and neonatal health.
Does epidural analgesia affect labor progress, delivery method, and newborn Apgar scores in pregnant women at 37-41 weeks?
Does epidural analgesia affect labor progress, delivery method, and newborn Apgar scores in pregnant women at 37-41 weeks?
Epidural analgesia during labor increases the likelihood of instrumental delivery and prolongs labor stages, though it does not appear to negatively impact newborn Apgar scores.
May inform shared decisions on labor analgesia; leaves open causality in this observational cohort.
Background: It is possible to use epidural analgesia as a standard and efficient, reducing labor pain. Nevertheless, it might interfere with the body's natural process of giving birth. We wanted to see how labor went on behalf of female epidural analgesic patients that worked well in labor time, delivery method, and baby's health. Methods: This quasi-experimental study was conducted in the Department of Anaesthesia, Rajshahi Medical College Hospital, and Tertiary Hospital in Rajshahi, Bangladesh. From June 2018 to December 2020. We used a non-probability handy sampling approach to pick one hundred pregnant ladies. It was more convenient to split the participants into two groups of 50 each. The study included women of any time between conception and delivery at 37-41 weeks of pregnancy as a potential data source. This study examined the impact on labor progress, delivery method, and Apgar ratings of newborns using epidural analgesia in group B and non-epidural in group A in the lumber area. The second stage was normal for 77 Among individuals who underwent treatment. However, the second stage was extended for 23. Result: The epidural group consisted of 18 patients (36%), whereas the non-epidural group had 5 patients (10%). 4 patients (8%) experienced intrapartum problems in terms of epidural anesthesia, whereas the non-epidural group did not. In all, 65 Mothers gave birth to their children naturally by vaginal delivery, while 35 women gave birth using artificial means. The epidural group consisted of 29 patients (58%), while the non-epidural group had just 6 individuals (12%). Both groups of newborns had the Apgar test results: 8/10 (74.3%) and 9/10 (24.8%) at five minutes, and none of the babies in either group required bag or mask resuscitation. The average Apgar score for both groups was 8/10 (74.3%) and 9/10 (24.8%). Conclusion: Epidural analgesia improves an instrument's rate of delivery while prolonging the stages of childbirth. Epidural analgesia has minimal..
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Chowdhury et al. (2021) studied this question.
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