Impact of Low-Dose Epidural Analgesia on Labour Progression in Low-Risk Women
NCT ID: NCT06987591
Last Updated: 2025-05-23
Study Results
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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COMPLETED
5995 participants
OBSERVATIONAL
2023-10-01
2025-05-01
Brief Summary
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Therefore, we conducted a retrospective analysis, retrieving data from October 1st 2008 to October 31st 2018. We selected 6030 women categorized as Robson Group 1, divided into four groups according to the mode of delivery (vaginal or caesarean) and the presence of EA:
* Vaginal delivery with EA (VD-e)
* Vaginal delivery without EA (VD-n)
* Caesarean delivery with EA (CD-e)
* Caesarean delivery without EA (CD-n)
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Detailed Description
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Conditions
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Study Design
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CASE_CONTROL
RETROSPECTIVE
Study Groups
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VD-e
Women who vaginally delivered and received EA for labour.
No interventions assigned to this group
VD-n
Women who vaginally delivered and did not receive EA for labour.
No interventions assigned to this group
CD-e
Women who delivered via intrapartum caesarean section and received EA for labour.
No interventions assigned to this group
CD-n
Women who delivered via intrapartum caesarean section and did not receive EA for labour.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* maternal age between 18 and 40 years
* neonatal weight between 2500 and 4000 grams
* cervical dilation \<7 cm at admission in the delivery suite
Exclusion Criteria
18 Years
40 Years
FEMALE
No
Sponsors
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS
OTHER
Responsible Party
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ZANFINI BRUNO ANTONIO
MD
Locations
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Fondazione Policlinico Universitario A. Gemelli IRCCS
Rome, RM, Italy
Countries
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References
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Anim-Somuah M, Smyth RM, Cyna AM, Cuthbert A. Epidural versus non-epidural or no analgesia for pain management in labour. Cochrane Database Syst Rev. 2018 May 21;5(5):CD000331. doi: 10.1002/14651858.CD000331.pub4.
de Vries BS, Mcdonald S, Joseph FA, Morton R, Hyett JA, Phipps H, McGeechan K. Impact of analysis technique on our understanding of the natural history of labour: a simulation study. BJOG. 2021 Oct;128(11):1833-1842. doi: 10.1111/1471-0528.16719. Epub 2021 May 19.
Vahratian A, Troendle JF, Siega-Riz AM, Zhang J. Methodological challenges in studying labour progression in contemporary practice. Paediatr Perinat Epidemiol. 2006 Jan;20(1):72-8. doi: 10.1111/j.1365-3016.2006.00696.x.
Friedman EA. Evolution of graphic analysis of labor. Am J Obstet Gynecol. 1978 Dec 1;132(7):824-7. doi: 10.1016/s0002-9378(78)80018-0. No abstract available.
Zhang J, Troendle JF, Yancey MK. Reassessing the labor curve in nulliparous women. Am J Obstet Gynecol. 2002 Oct;187(4):824-8. doi: 10.1067/mob.2002.127142.
Zhang J, Landy HJ, Ware Branch D, Burkman R, Haberman S, Gregory KD, Hatjis CG, Ramirez MM, Bailit JL, Gonzalez-Quintero VH, Hibbard JU, Hoffman MK, Kominiarek M, Learman LA, Van Veldhuisen P, Troendle J, Reddy UM; Consortium on Safe Labor. Contemporary patterns of spontaneous labor with normal neonatal outcomes. Obstet Gynecol. 2010 Dec;116(6):1281-1287. doi: 10.1097/AOG.0b013e3181fdef6e.
Other Identifiers
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6077
Identifier Type: -
Identifier Source: org_study_id
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