Evidence map›Paper›PMID 37168548›Full record

ArticleAJOG global reports2023

The impact of epidural analgesia on delivery mode in Robson class 1 women: a retrospective cohort study.

Fedora Ambrosetti, Giovanni Grandi, Elisabetta Petrella, Veronica Sampogna, Lara Donno, Laura Rinaldi, Anna Maria Ghirardini, Fabio Facchinetti

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AJOG global reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Fedora AmbrosettiDepartment of Medical and Surgical Sciences for Mother, Child, and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, Italy (Dr Ambrosetti, XX Grandi, XX Petrella, XX Sampogna, and XX Facchinetti).
Giovanni GrandiDepartment of Medical and Surgical Sciences for Mother, Child, and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, Italy (Dr Ambrosetti, XX Grandi, XX Petrella, XX Sampogna, and XX Facchinetti).
Elisabetta PetrellaDepartment of Medical and Surgical Sciences for Mother, Child, and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, Italy (Dr Ambrosetti, XX Grandi, XX Petrella, XX Sampogna, and XX Facchinetti).
Veronica SampognaDepartment of Medical and Surgical Sciences for Mother, Child, and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, Italy (Dr Ambrosetti, XX Grandi, XX Petrella, XX Sampogna, and XX Facchinetti).
Lara DonnoAnesthesia and Intensive Care Unit, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, Italy (XX Donno, XX Rinaldi, and XX Ghirardini).
Laura RinaldiAnesthesia and Intensive Care Unit, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, Italy (XX Donno, XX Rinaldi, and XX Ghirardini).
Anna Maria GhirardiniAnesthesia and Intensive Care Unit, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, Italy (XX Donno, XX Rinaldi, and XX Ghirardini).
Fabio FacchinettiDepartment of Medical and Surgical Sciences for Mother, Child, and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero Universitaria Policlinico, Modena, Italy (Dr Ambrosetti, XX Grandi, XX Petrella, XX Sampogna, and XX Facchinetti).
University of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of epidural analgesia represents the gold standard for pain management during labor, but the influence of the use of epidural analgesia on delivery mode is not fully understood.

objectiveThis study aimed to analyze the impact of epidural analgesia on the delivery mode, namely, cesarean delivery, vaginal delivery, and operative vaginal delivery rates, in Robson class 1 women. STUDY

designA retrospective cohort study was conducted on all Robson class 1 women who delivered from January 1, 2019, to December 31, 2019, in the University Hospital of Modena. The primary outcome was the delivery mode (cesarean delivery, vaginal delivery, and operative vaginal delivery rates), and the secondary outcomes were maternal, anesthesiologic, and neonatal effects of epidural analgesia (duration of labor, duration of the second stage of labor, Apgar score, and neonatal intensive care unit admission).

resultsA total of 744 women were included in the final analysis, of which 198 (26.6%) underwent epidural analgesia on request and 546 (73.4%) did not. In women with and without epidural analgesia, the cesarean delivery rate was 8.1% vs 7%, the vaginal delivery rate was 79.3% vs 81.1%, and the operative vaginal delivery rate was 12.6% vs 11.9%, respectively. A significant increase in both the first stage of labor (66.3±38.5 vs 43.8±38.8 minutes;

conclusionThe use of epidural analgesia was not associated with an increased risk of cesarean delivery or operative vaginal delivery in Robson class 1 women. Further investigations are needed to evaluate its impact on the duration of labor, namely the duration of the first stage of labor, and on the possible advantages of starting epidural analgesia at an early stage.

Indexed as

cesarean delivery, cervical dilationepidural analgesiamode of deliveryneonatal outcomesnulliparous womenobstetrical anesthesiaRobson classificationvaginal delivery

Identifiers

PMID37168548
PMCPMC10165263
OpenAlexW4362639442

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.