Effects of combined spinal-epidural analgesia on first stage of labor: a cohort study

Silvia Poma; Luigia Scudeller; Chiara Verga; Giorgio Mirabile; Barbara Gardella; Federica Broglia; Maria Ciceri; Marinella Fuardo; Simona Pellicori; Maddalena Gerletti; Silvia Zizzi; Elena Masserini; Maria Paola Delmonte; Giorgio Antonio Iotti

doi:10.1080/14767058.2018.1467892

Effects of combined spinal-epidural analgesia on first stage of labor: a cohort study

Silvia Poma, Luigia Scudeller, Chiara Verga, Giorgio Mirabile, Barbara Gardella, Federica Broglia, Maria Ciceri, Marinella Fuardo, Simona Pellicori, Maddalena Gerletti, Silvia Zizzi, Elena Masserini, Maria Paola Delmonte, Giorgio Antonio Iotti

IRCCS Fondazione Policlinico San Matteo

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Neuraxial anesthesia is considered as the gold standard in the control labor of pain. Its variants are epidural analgesia and combined spinal-epidural analgesia. Few studies, as yet, have investigated the duration of labor as a primary outcome. Some authors have suggested that combined spinal-epidural analgesia may reduce labor duration but at the moment the benefit of shortening labor is uncertain. The main aim of this study was to compare combined spinal-epidural with epidural analgesia in terms of their effect on duration of stage I labor, maternal, and neonatal outcomes. Methods: A prospective cohort study was conducted. Parturients who requested analgesia at cervical dilatation

Original language	English
Pages (from-to)	3559-3565
Number of pages	7
Journal	Journal of Maternal-Fetal and Neonatal Medicine
Volume	32
Issue number	21
DOIs	https://doi.org/10.1080/14767058.2018.1467892
Publication status	Published - Nov 2019

Keywords

Augmentation of labor
fetal monitoring
labor analgesia
labor duration
Adult
*Analgesia, Epidural/methods
Analgesia, Obstetrical/*methods
Anesthesia, Epidural/methods
*Anesthesia, Spinal/methods
Cohort Studies
Combined Modality Therapy
Female
Heart Rate, Fetal/drug effects
Humans
Labor Stage, First/*drug effects/physiology
Labor, Obstetric/drug effects/physiology
Pregnancy
Pregnancy Outcome
Young Adult

Access to Document

10.1080/14767058.2018.1467892

https://pubmed.ncbi.nlm.nih.gov/29768964

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Poma, S., Scudeller, L., Verga, C., Mirabile, G., Gardella, B., Broglia, F., Ciceri, M., Fuardo, M., Pellicori, S., Gerletti, M., Zizzi, S., Masserini, E., Delmonte, M. P., & Iotti, G. A. (2019). Effects of combined spinal-epidural analgesia on first stage of labor: a cohort study. Journal of Maternal-Fetal and Neonatal Medicine, 32(21), 3559-3565. https://doi.org/10.1080/14767058.2018.1467892

Effects of combined spinal-epidural analgesia on first stage of labor: a cohort study. / Poma, Silvia ; Scudeller, Luigia; Verga, Chiara; Mirabile, Giorgio; Gardella, Barbara; Broglia, Federica; Ciceri, Maria ; Fuardo, Marinella ; Pellicori, Simona ; Gerletti, Maddalena ; Zizzi, Silvia; Masserini, Elena; Delmonte, Maria Paola; Iotti, Giorgio Antonio.

In: Journal of Maternal-Fetal and Neonatal Medicine, Vol. 32, No. 21, 11.2019, p. 3559-3565.

Research output: Contribution to journal › Article › peer-review

Poma, S , Scudeller, L, Verga, C, Mirabile, G, Gardella, B, Broglia, F, Ciceri, M , Fuardo, M , Pellicori, S , Gerletti, M , Zizzi, S, Masserini, E, Delmonte, MP & Iotti, GA 2019, 'Effects of combined spinal-epidural analgesia on first stage of labor: a cohort study', Journal of Maternal-Fetal and Neonatal Medicine, vol. 32, no. 21, pp. 3559-3565. https://doi.org/10.1080/14767058.2018.1467892

Poma, Silvia ; Scudeller, Luigia ; Verga, Chiara ; Mirabile, Giorgio ; Gardella, Barbara ; Broglia, Federica ; Ciceri, Maria ; Fuardo, Marinella ; Pellicori, Simona ; Gerletti, Maddalena ; Zizzi, Silvia ; Masserini, Elena ; Delmonte, Maria Paola ; Iotti, Giorgio Antonio. / Effects of combined spinal-epidural analgesia on first stage of labor: a cohort study. In: Journal of Maternal-Fetal and Neonatal Medicine. 2019 ; Vol. 32, No. 21. pp. 3559-3565.

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abstract = "Background: Neuraxial anesthesia is considered as the gold standard in the control labor of pain. Its variants are epidural analgesia and combined spinal-epidural analgesia. Few studies, as yet, have investigated the duration of labor as a primary outcome. Some authors have suggested that combined spinal-epidural analgesia may reduce labor duration but at the moment the benefit of shortening labor is uncertain. The main aim of this study was to compare combined spinal-epidural with epidural analgesia in terms of their effect on duration of stage I labor, maternal, and neonatal outcomes. Methods: A prospective cohort study was conducted. Parturients who requested analgesia at cervical dilatation ",

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AU - Broglia, Federica

AU - Ciceri, Maria

AU - Fuardo, Marinella

AU - Pellicori, Simona

AU - Gerletti, Maddalena

AU - Zizzi, Silvia

AU - Masserini, Elena

AU - Delmonte, Maria Paola

AU - Iotti, Giorgio Antonio

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