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Vol 93, No 10 (2022)
Research paper
Published online: 2022-10-04
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Epidural anesthesia during childbirth — retrospective analysis of maternal and neonatal results

Grazyna Baczek1, Sylwia Rychlewicz2, Dorota Sys3, Justyna Teliga-Czajkowska1
DOI: 10.5603/GP.a2022.0109
·
Pubmed: 36196565
·
Ginekol Pol 2022;93(10):847-855.
Affiliations
  1. Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, Poland
  2. St. Sophia’s Specialist Hospital, Żelazna Medical Center, Warsaw, Poland
  3. Department of Reproductive Health, Centre of Postgraduate Medical Education, Warsaw, Poland

open access

Vol 93, No 10 (2022)
ORIGINAL PAPERS Obstetrics
Published online: 2022-10-04

Abstract

Objectives: In Poland, in accordance with applicable regulations, every woman should have access to epidural anesthesia. The advantage of this type of analgesia is primarily analgesic effectiveness. The aim of the study is to identify variables related to epidural anesthesia and to verify the relationship between them and the occurrence of perinatal complications in the mother and the child.
Material and methods: This was a single-center retrospective cohort study. Electronic documentation of patients of the Hospital of St. Sofia in Warsaw was used to create an anonymous retrospective database of all births in the years 2015–2020. 27,340 cases were qualified for the analysis.
Results: The logistic regression model showed that the risk of episiotomy (OR = 5.539; CI = 5.169–5.935) increases more than fivefold and perineal laceration (OR = 2.190; CI= 2.036–2.356) increases twice in the case of epidural anesthesia application. There is also an increased risk of operative delivery (OR = 2.668; CI = 2.255–3.156), at the same time the risk of performing a cesarean section decreases more than fivefold (OR = 0.043; CI = 0.036–0.052).
Conclusions: Epidural anesthesia affects the delivery mechanism leading to an increase in the number and intensity of additional medical procedures — episiotomy, perineal laceration, operative delivery. The rationale for the routine use of this method of anesthesia should be considered in the context of the implications for the woman’s reproductive health and research on the effectiveness of other methods of birth anesthesia should be conducted.

Abstract

Objectives: In Poland, in accordance with applicable regulations, every woman should have access to epidural anesthesia. The advantage of this type of analgesia is primarily analgesic effectiveness. The aim of the study is to identify variables related to epidural anesthesia and to verify the relationship between them and the occurrence of perinatal complications in the mother and the child.
Material and methods: This was a single-center retrospective cohort study. Electronic documentation of patients of the Hospital of St. Sofia in Warsaw was used to create an anonymous retrospective database of all births in the years 2015–2020. 27,340 cases were qualified for the analysis.
Results: The logistic regression model showed that the risk of episiotomy (OR = 5.539; CI = 5.169–5.935) increases more than fivefold and perineal laceration (OR = 2.190; CI= 2.036–2.356) increases twice in the case of epidural anesthesia application. There is also an increased risk of operative delivery (OR = 2.668; CI = 2.255–3.156), at the same time the risk of performing a cesarean section decreases more than fivefold (OR = 0.043; CI = 0.036–0.052).
Conclusions: Epidural anesthesia affects the delivery mechanism leading to an increase in the number and intensity of additional medical procedures — episiotomy, perineal laceration, operative delivery. The rationale for the routine use of this method of anesthesia should be considered in the context of the implications for the woman’s reproductive health and research on the effectiveness of other methods of birth anesthesia should be conducted.

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Keywords

epidural anesthesia; risk factors; childbirth

About this article
Title

Epidural anesthesia during childbirth — retrospective analysis of maternal and neonatal results

Journal

Ginekologia Polska

Issue

Vol 93, No 10 (2022)

Article type

Research paper

Pages

847-855

Published online

2022-10-04

Page views

4362

Article views/downloads

970

DOI

10.5603/GP.a2022.0109

Pubmed

36196565

Bibliographic record

Ginekol Pol 2022;93(10):847-855.

Keywords

epidural anesthesia
risk factors
childbirth

Authors

Grazyna Baczek
Sylwia Rychlewicz
Dorota Sys
Justyna Teliga-Czajkowska

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