Incidence and Factors Involving Cesarean Delivery After Epidural Analgesia for Labor

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

188 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-03-01

Study Completion Date

2024-01-31

Brief Summary

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The rate of cesarean delivery after epidural analgesia for labor has not been reported in our institute. The aim of this study is to elucidate incidence of cesarean delivery in parturient whom received epidural analgesia. Besides, factors associated with the rate of cesarean delivery were studied.

Detailed Description

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Epidural analgesia with local anesthetic and opioid is the efficiently good method to relieve labor pain comparing with intravenous opioid analgesic. Many literatures reported effects epidural analgesia for labor eg. prolonging the duration of second stage of labor, increasing the rate of instrumental delivery: vacuum extraction and forceps assisting labor. Some papers revealed the increasing in the rate of cesarean delivery. The main reason is assume to be a failure to progress labor after epidural analgesia. However, the recent report from Cochrane database systematic review showed no relation of epidural analgesia for labor and the increasing in the rate of cesarean delivery. Various factors that may involve in the increasing in the rate of cesarean delivery including the dilatation of cervix at the time of insertion of epidural catheter, nulliparous, size of the fetus or motor weakness after receiving epidural medication.

The rate of cesarean delivery after epidural analgesia for labor has not been reported in our institute. The aim of this study is to elucidate incidence of cesarean delivery in parturient whom received epidural analgesia. Besides, factors associated with the rate of cesarean delivery were studied.

Conditions

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Cesarean Section Epidural; Anesthesia

Keywords

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Epidural analgesia Labor pain Cesarean section rate

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Age\>,= 18 years
* Accept epidural analgesia for labor
* ASA classification I-II

Exclusion Criteria

* Unable to communicate Thai

Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patchareya Nivatpumin, M.D.

Role: PRINCIPAL_INVESTIGATOR

Mahidol University

Locations

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Siriraj Hospital, Mahidol University

Bangkok, , Thailand

Site Status

Countries

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Thailand

References

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Nivatpumin P, Triyasunant N, Visalyaputra S, Lertbunnaphong T, Saenyasiri N. Incidence and associated factors of cesarean delivery following epidural analgesia for labor: A prospective cohort study at a Thai university hospital. Midwifery. 2025 Sep;148:104501. doi: 10.1016/j.midw.2025.104501. Epub 2025 Jun 24.

Reference Type RESULT

PMID: 40609139 (View on PubMed)

Other Identifiers

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020/2562 (EC4)

Identifier Type: -

Identifier Source: org_study_id