Effects of epidural analgesia during labor on pelvic floor function after vaginal delivery

Andrea Sartore, Roberto Pregazzi, Paolo Bortoli, Eva Grimaldi, Giuseppe Ricci, Secondo Guaschino

Research output: Contribution to journalArticle

Abstract

Background. Aims of this study were to determine the rate of symptoms related to perineal trauma (anal and stress urinary incontinence) and to assess pelvic floor muscle function in women who underwent epidural analgesia. Methods. Comparative design comprising 70 matched pairs of primiparous mothers. Each woman was questioned about urogynecologic symptoms and examined by digital test, vaginal perineometry and uroflowmetric stop test score 3 months after vaginal delivery. Urogenital prolapse was defined in accordance with the Baden and Walker's 'Halfway System Classification'. Statistical analysis was performed using Fisher's exact test to compare the two groups and simple logistic regression models to estimate the odds ratios of every variable considered in respect of the control population. Results. No significant difference was found in the incidence of stress urinary incontinence, anal incontinence and vaginal prolapse in the two study groups. No significant differences were found between the study groups with regard to the digital test, vaginal manometry and urine stream interruption test. Conclusions. Use of epidural analgesia is not associated with symptoms related to perineal trauma and pelvic floor muscle weakness.

Original languageEnglish
Pages (from-to)143-146
Number of pages4
JournalActa Obstetricia et Gynecologica Scandinavica
Volume82
Issue number2
DOIs
Publication statusPublished - Feb 1 2003

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Keywords

  • Anal incontinence
  • Epidural analgesia
  • Pelvic floor muscle assessment
  • Urinary incontinence
  • Vaginal delivery

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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