Evidence map›Paper›PMID 35599249›Full record

ArticleArchives of gynecology and obstetrics2023

Effects of neuraxial analgesia technique on labor and maternal-fetal outcomes: a retrospective study.

Cecilia Lazzari, Ricciarda Raffaelli, Roberto D'Alessandro, Chiara Simonetto, Mariachiara Bosco, Pier Carlo Zorzato, Stefano Uccella, Fabrizio Taddei, Massimo Franchi, Simone Garzon

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In one paragraph

Article in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Cecilia LazzariDepartment of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Ricciarda RaffaelliDepartment of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Roberto D'AlessandroDepartment of Anesthesia and Intensive Care, AOUI Verona, University of Verona, Verona, Italy.
Chiara SimonettoDepartment of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Mariachiara BoscoDepartment of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy. boscomariachiara@gmail.com.ORCID http://orcid.org/0000-0002-2109-6182
Pier Carlo ZorzatoDepartment of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Stefano UccellaDepartment of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Fabrizio TaddeiDepartment of Obstetrics and Gynecology, Santa Chiara Hospital, APSS Trento, Trento, Italy.
Massimo FranchiDepartment of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Simone GarzonDepartment of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
University of Verona · ITOspedale Santa Chiara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the effects of epidural analgesia (EA) and combined spinal epidural analgesia (SEA) on labor and maternal-fetal outcomes.

methodsWe retrospectively identified and included 1499 patients with a single cephalic fetus who delivered at the study center from January 2015 to December 2018 and received neuraxial analgesia at the beginning of the active phase of labor (presence of regular painful contractions and cervical dilatation between 4 and 6 cm). Data including analgesia, labor characteristics, and maternal-fetal outcomes were retrieved from the prospectively collected delivery room database and medical records.

resultsSEA was associated with a shorter first stage of labor than EA, with a median difference of 60 min. On multivariable ordinal logistic regression analysis, neuraxial analgesia, gestational age, fetal weight, labor induction, and parity were independently associated with the first stage length: patients in the EA group were 1.32 times more likely to have a longer first stage of labor (95% CI 1.06-1.64, p = 0.012) than those in the SEA group. Additionally, a significantly lower incidence of fundal pressure was performed among patients who underwent SEA (OR 0.55, 95% CI 0.34-0.9, p = 0.017). No associations were observed between the used neuraxial analgesia technique and other outcomes.

conclusionsSEA was associated with a shorter length of the first stage of labor and a lower rate of fundal pressure use than EA. Further studies confirming the effects of SEA on labor management and clarifying differences in maternal-fetal outcomes will allow concluding about the superiority of one technique upon the other.

Indexed as

Analgesia, EpiduralAnalgesia, ObstetricalAnesthesia, SpinalLabor, ObstetricFemaleHumansPain ManagementPregnancyRetrospective StudiesCombined spinal epidural analgesia, Epidural analgesiaFirst stage of laborLabor analgesiaLabor durationMaternal–fetal outcomes

Identifiers

PMID35599249
PMCPMC10023596
OpenAlexW4281261791

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read7
measurements read56
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.