ArticleJournal of clinical and diagnostic research : JCDR2014
The effect of epidural analgesia on labour, mode of delivery and neonatal outcome in nullipara of India, 2011-2014.
Article in Journal of clinical and diagnostic research : JCDR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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12 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Optimal Strategies for Screening Common Birth Defects in Children of Low- and Middle-Income Countries: A Systematic Review.Neonatology · 2025Pooled it
- Dexamethasone as a sufentanil adjuvant effects on labor pain management and neonatal safety.Annals of medicine and surgery (2012) · 2025Article
- Endorphins, Sexuality, and Reproduction.Advances in neurobiology · 2024Article
- Comparisons of nonpharmaceutical analgesia and pharmaceutical analgesia on the labor analgesia effect of parturient women.Immunity, inflammation and disease · 2023Article
- Article
- Effects of different analgesic methods used for vaginal delivery on mothers and fetusesTurkish journal of medical sciences · 2020Observational
- Effects of Labor Epidural Analgesia on Short Term Neonatal Morbidity.International journal of women's health · 2020Article
- Epidural Analgesia and Back Pain after Labor.Medicina (Kaunas, Lithuania) · 2019Article
- Epidural Analgesia and Neonatal Morbidity: A Retrospective Cohort Study.International journal of environmental research and public health · 2018Article
- Effects of Epidural Labour Analgesia in Mother and Foetus.Journal of obstetrics and gynaecology of India · 2018Article
- Barriers for labour analgesia in South India - Knowledge and attitude of relevant stakeholders: A hospital-based cross-sectional study.Indian journal of anaesthesia · 2017Article
- Quality of Labor Epidural Analgesia and Maternal Outcome With Levobupivacaine and Ropivacaine: A Double-Blinded Randomized Trial.Anesthesia, essays and researchesArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThis study aimed to evaluate the effect of ropivacaine epidural analgesia on duration and outcome of labour in nulliparous parturients of India with parturient not receiving any analgesia. SETTINGS AND
designOne hundred and twenty nulliparous parturient in established labour at full term with a singleton vertex presentation were assigned to the study. Parturients who request epidural analgesia were allocated in the epidural group (n=60), whereas those not enthusiastic to labour analgesia were allocated in the control group (n=60). MATERIALS AND
methodsEpidural analgesia was provided by a bolus injection of 10 ml of ropivacaine 0.2% and 50μg fentanyl and maintained by using a continuous infusion of ropivacaine 0.1% with fentanyl 2μl/ml at a 10ml/hour rate. The outcomes were duration of labour, incidence of cesarean sections and instrumental vaginal delivery and neonatal outcome. STATISTICAL ANALYSIS USED: Statistical analysis was conducted using unpaired student t-test and chi-square test as required. All tests of significance were performed using two-tailed probability tests. Differences were considered significant when p-value was <0.05.
resultsThe two groups were comparable in terms of socio-demographic data. The mean duration of first stage of labour was shorter in epidural group (4.83 ± 1.59 h) compared with control group (5.48 ± 1.56 h) while the duration of second stage of labour was prolong in epidural group (33.13 ± 12.78 min) as compared to control (27.53 ± 11.73 min). Instrumental vaginal or caesarean delivery rate did not increase in the epidural group. The APGAR scores at 5 min were statistically similar in both groups.
conclusionEpidural analgesia by ropivacaine in Indian nulliparous resulted in shorter duration of first stage and prolongs duration of second stage of labour compared with parturients without analgesia; however, instrumental vaginal or caesarean delivery rate does not increase in the epidural group.
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