ArticleJournal of obstetrics and gynaecology of India2022
The Effect of Epidural Analgesia on the Maternal and Fetal Outcomes in Mothers Undergoing Induction of Labour.
Article in Journal of obstetrics and gynaecology of India, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- A scoping review of barriers experienced by underserved and rural maternal populations in accessing epidural analgesia in the United States.Journal of anesthesia · 2026Article
- Impact of epidural analgesia on outcomes of vaginal birth after cesarean delivery.Archives of gynecology and obstetrics · 2025Article
- A Systematic Review of Contemporary and Emerging Analgesia Techniques for Natural Labor-Patient-Centered Approaches and Technological Advances.Journal of clinical medicine · 2025Review
- The Impact of Early Epidural Analgesia on the Course of Labor and Delivery.Medicina (Kaunas, Lithuania) · 2025Article
- An Evidence-Based Approach to Vaginal Birth.O&G open · 2024Review
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Elective labour induction is associated with more pain, intrapartum interventions, cesarean deliveries, as compared with spontaneous labour, necessitating the use of labour analgesia. Epidural analgesia is one popular method for control of pain. This study was to determine the effect of epidural analgesia on the maternal and fetal outcomes in women undergoing induction of labour, as adequate data in this specific population is relatively sparse. Materials and Methods: This was a cross-sectional study conducted over a period of 18 months which included mothers with singleton term gestation with cephalic presentation admitted for induction of labour. Result: A sample of 238 mothers were included in the study. Among the study population, 52.7% opted for epidural analgesia. The pain score was less than 3/10 (VAS) in 81% of mothers who opted for epidural analgesia. The cesarean section rate was 20.5% and 34.3% in the epidural and non-epidural groups, respectively. After adjusting the confounding factors, there was a positive effect noted in the caesarean section rate among the epidural group, which was lesser than the non-epidural group. However, a higher instrumental delivery rate (18.8% vs. 10.5%, Conclusion: Epidural analgesia providing good pain relief in the majority of the mothers was reinforced. In our study, epidural analgesia was associated with a reduction of caesarean section rate after adjusting the confounding factor. Epidural analgesia did not affect the duration of labour, cesarean section rate and fetal outcome independently, however, it was associated with increased risk of instrumental delivery. The outcomes mainly depend on the confounding factors. Therefore, mothers can be provided with an evidence-based information regarding the effect of epidural analgesia in induced labour and help those seeking epidural analgesia to make an informed choice. Supplementary Information: The online version contains supplementary material available at 10.1007/s13224-022-01622-1.
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