Relation between length of exposure to epidural analgesia during labour and birth Mode
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- dc.contributor.author García-Lausín, Laura
- dc.contributor.author Pérez-Botella, Mercedes
- dc.contributor.author Duran Jordà, Xavier, 1974-
- dc.contributor.author Mamblona-Vicente, María Felisa
- dc.contributor.author Gutierrez-Martín, María Jesus
- dc.contributor.author Gómez de Enterria-Cuesta, Eugenia
- dc.contributor.author Escuriet Peiró, Ramón, 1968-
- dc.date.accessioned 2020-01-30T07:31:22Z
- dc.date.available 2020-01-30T07:31:22Z
- dc.date.issued 2019
- dc.description.abstract Objective: To appraise the relationship between the length of exposure to epidural analgesia and the risk of non-spontaneous birth, and to identify additional risk factors. This study is framed within the MidconBirth project. Study design: A multicentre prospective study was conducted between July 2016 and November 2017 in three maternity hospitals in different Spanish regions. The independent variable of the study was the length of exposure to epidural analgesia, and the dependent variable was the type of birth in women with uncomplicated pregnancies. The data was analyzed separately by parity. A multivariate logistic regression was performed. The odds ratios (OR), using 95% confidence intervals (CI) were constructed. Main outcome measures: During the study period, 807 eligible women gave birth. Non-spontaneous births occurred in 29.37% of the sample, and 75.59% received oxytocin for augmentation of labour. The mean exposure length to epidural analgesia when non-spontaneous birth happened was 8.05 for primiparous and 6.32 for multiparous women (5.98 and 3.37 in spontaneous birth, respectively). A logistic regression showed the length of exposure to epidural during labour was the major predictor for non-spontaneous births in primiparous and multiparous women followed by use of oxytocin (multiparous group). Conclusions: The length of exposure to epidural analgesia during labour is associated with non-spontaneous births in our study. It highlights the need for practice change through the development of clinical guidelines, training programs for professionals and the continuity of midwifery care in order to support women to cope with labour pain using less invasive forms of analgesia. Women also need to be provided with evidence-based information.
- dc.format.mimetype application/pdf
- dc.identifier.citation Garcia-Lausin L, Perez-Botella M, Duran X, Mamblona-Vicente MF, Gutierrez-Martin MJ, Gómez de Enterria-Cuesta E et al. Relation between length of exposure to epidural analgesia during labour and birth Mode. Int J Environ Res Public Health. 2019 Aug 15;16(16):2928. DOI: 10.3390/ijerph16162928
- dc.identifier.doi http://dx.doi.org/10.3390/ijerph16162928
- dc.identifier.issn 1660-4601
- dc.identifier.uri http://hdl.handle.net/10230/43442
- dc.language.iso eng
- dc.publisher MDPI
- dc.relation.ispartof International Journal of Environmental Research and Public Health. 2019 Aug 15;16(16):2928
- dc.rights copyright © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Alternative methods of pain relief
- dc.subject.keyword Experience of women
- dc.subject.keyword Informed consent
- dc.subject.keyword Oxytocin
- dc.subject.keyword Time exposure to epidural analgesia
- dc.subject.keyword Type of birth
- dc.title Relation between length of exposure to epidural analgesia during labour and birth Mode
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion