ArticleMaternal and child health journal2010
Epidural analgesia and risks of cesarean and operative vaginal deliveries in nulliparous and multiparous women.
Article in Maternal and child health journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 47 citations in OpenAlex.
- The effect of mindfulness-based counseling on the childbirth experience of primiparous women: a randomized controlled clinical trial.BMC pregnancy and childbirth · 2023Trial
- Trial
- Impact on caesarean section rates following injections of sterile water (ICARIS): a multicentre randomised controlled trial.BMC pregnancy and childbirth · 2013Trial
- Epidural Analgesia for Labour: Comparing the Effects of Continuous Epidural Infusion (CEI) and Programmed Intermittent Epidural Bolus (PIEB) on Obstetric Outcomes.Romanian journal of anaesthesia and intensive care · 2021Article
- Managing the pain of labour: factors associated with the use of labour pain management for pregnant Australian women.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Article
- Epidurals: Do They or Don't They Increase Cesareans?The Journal of perinatal education · 2015Article
- Effects of maternal epidural analgesia on the neonate--a prospective cohort study.Italian journal of pediatrics · 2014Article
- A prospective study of effects of psychological factors and sleep on obstetric interventions, mode of birth, and neonatal outcomes among low-risk British Columbian women.BMC pregnancy and childbirth · 2012Article
- Understanding rising caesarean section trends: relevance of inductions and prelabour obstetric interventions at term.Facts, views & vision in ObGyn · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective is to examine the effect of epidural analgesia in first stage of labor on occurrence of cesarean and operative vaginal deliveries in nulliparous women and multiparous women without a previous cesarean delivery. Design of the Prospective cohort study. Prenatal care was received at 12 free-standing health centers, 7 private physician offices, or 2 hospital-based clinics; babies were delivered at a free standing birth center or at 3 hospitals, all in San Diego, CA. This study of 2,052 women used data from the San Diego Birth Center Study that enrolled women between 1994 and 1996 to compare the birthing management of the collaborative Certified Nurse Midwife-Medical Doctor Model with that of the traditional Medical Doctor Model. Main Outcome Measures of the Cesarean or operative vaginal deliveries. After adjusting for differences between women who used and those who did not use epidural analgesia in 1st stage of labor, epidural use was associated with a 2.5 relative risk (95% CI: 1.8, 3.4) for operative vaginal delivery in nulliparous women, and a 5.9 relative risk (95% CI: 3.2, 11.1) in multiparous women. Epidural use was associated with a 2.4 relative risk (95% CI: 1.5, 3.7) for cesarean delivery in nulliparous women, and a 1.8 relative risk (95% CI: 0.6, 5.3) in multiparous women. Epidural anesthesia increases the risk for operative vaginal deliveries in both nulliparous and multiparous women, and increases risk for cesarean deliveries in nulliparous more so than in multiparous women.
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Registered trials
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