Failure of augmentation of labor epidural analgesia for intrapartum cesarean delivery: a retrospective review.
Anesth Analg
; 108(1): 252-4, 2009 Jan.
Article
em En
| MEDLINE
| ID: mdl-19095859
ABSTRACT
In this study, we aimed to identify the incidence and predictive factors associated with failed labor epidural augmentation for cesarean delivery. Data of parturients, who had received neuraxial labor analgesia and who subsequently required intrapartum cesarean delivery during an 18-mo period, were retrospectively studied. Predictors associated with failure of extension of epidural analgesia in the presence of adequate time for onset of epidural anesthesia were identified by univariate logistic regression. Of the 1025 parturients, 1.7% had failed epidural extension. Predictors of failed epidural anesthesia included initiation of labor analgesia with plain epidural technique (compared to combined spinal-epidural) (P = 0.001), >or=2 episodes of breakthrough pain during labor (P < 0.001) and prolonged duration of neuraxial labor analgesia (P = 0.02).
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Analgesia Epidural
/
Cesárea
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Analgesia Obstétrica
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Dor do Parto
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Anestesia Epidural
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Anestesia Obstétrica
/
Raquianestesia
/
Anestésicos Locais
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Anesth Analg
Ano de publicação:
2009
Tipo de documento:
Article