+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Labor pain at the time of epidural analgesia and mode of delivery in nulliparous women presenting for an induction of labor



Labor pain at the time of epidural analgesia and mode of delivery in nulliparous women presenting for an induction of labor



Obstetrics and Gynecology 114(4): 764-769



To assess whether the degree of labor pain at the initiation of neuraxial analgesia is associated with mode of delivery. Nulliparous women who presented to the labor department for an induction of labor, who were between 37 and 41 weeks of gestation, and who requested labor epidural analgesia with a pain score of 0-3 (low pain) and a cervical dilatation less than 4 cm were assessed retrospectively. Maternal and neonatal outcome including mode of delivery and duration of labor were compared with a similar group of women with pain scores of 4-6 (moderate pain), and 7-10 (severe pain). Assessing whether there was an association between pain level at the time of epidural and operative delivery rates was analyzed using a chi test for trend and by logistic regression to include potentially relevant covariates. We found 185 nulliparous women with low pain and compared them with a randomly selected equal number of women in each of the other pain groups. There was no significant association between pain groups in terms of duration of the first or second stage of labor or mode of delivery. Women with low pain had an operative delivery rate (instrumental assisted vaginal delivery plus cesarean delivery) of 49%, compared with 45% and 45% in those with moderate and severe pain, respectively (P=.40). We did not find an association between the degree of labor pain at initiation of epidural analgesia and mode of delivery or duration of labor. II.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059905570

Download citation: RISBibTeXText

PMID: 19888033

DOI: 10.1097/aog.0b013e3181b6beee


Related references

Labor Pain at the Time of Epidural Analgesia and Mode of Delivery in Nulliparous Women Presenting for an Induction of Labor. Obstetric Anesthesia Digest 30(3): 184-185, 2010

Labor pain at the time of epidural analgesia and mode of delivery in nulliparous women presenting for an induction of labor. Obstetrics and Gynecology 115(3): 661; Author Reply 661, 2010

Active management of labor does not shorten labor or affect mode of delivery in low-risk nulliparous women receiving epidural analgesia. Anesthesiology 81(3A): A1126, 1994

The effects of different epidural analgesia formulas on labor and mode of delivery in nulliparous women. Taiwanese Journal of Obstetrics and Gynecology 53(1): 8, 2014

The impact of epidural analgesia on the mode of delivery in nulliparous women that attain the second stage of labor. Journal of Maternal-Fetal and Neonatal Medicine 2019: 1-8, 2019

The degree of labor pain at the time of epidural analgesia in nulliparous women influences the obstetric outcome. Korean Journal of Anesthesiology 68(3): 249-253, 2015

Cesarean delivery: a randomized trial of epidural analgesia versus intravenous meperidine analgesia during labor in nulliparous women. Anesthesiology 96(3): 546-551, 2002

Does Epidural Versus Combined Spinal-epidural Analgesia Prolong Labor and Increase the Risk of Instrumental and Cesarean Delivery in Nulliparous Women?. Obstetric Anesthesia Digest 29(4): 219-220, 2009

Does epidural versus combined spinal-epidural analgesia prolong labor and increase the risk of instrumental and cesarean delivery in nulliparous women?. Journal of Clinical Anesthesia 21(2): 94-97, 2009

Programmed intermittent epidural bolus versus continuous epidural infusion for labor analgesia: the effects on maternal motor function and labor outcome. A randomized double-blind study in nulliparous women. Anesthesia and Analgesia 113(4): 826-831, 2011

Programmed Intermittent Epidural Bolus Versus Continuous Epidural Infusion for Labor Analgesia: The Effects on Maternal Motor Function and Labor Outcome. A Randomized Double-Blind Study in Nulliparous Women. Yearbook of Anesthesiology and Pain Management 2012: 286-287, 2012

Comparative study of induction of labor in nulliparous women with premature rupture of membranes at term compared to those with intact membranes: duration of labor and mode of delivery. Journal of Obstetrics and Gynaecology Research 32(5): 482-488, 2006

The influence of continuous epidural bupivacaine analgesia on the second stage of labor and method of delivery in nulliparous women. Anesthesiology 66(6): 774-780, 1987

Timing of epidural analgesia intervention for labor pain in nulliparous women in Taiwan: a retrospective study. Acta Anaesthesiologica Taiwanica 51(3): 112-115, 2013

Effect of combined spinal-epidural analgesia in labor on frequency of emergency cesarean delivery among nulliparous Chinese women. International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics 135(3): 259-263, 2016