Tags

Type your tag names separated by a space and hit enter

Failure of augmentation of labor epidural analgesia for intrapartum cesarean delivery: a retrospective review.
Anesth Analg. 2009 Jan; 108(1):252-4.A&A

Abstract

In this study, we aimed to identify the incidence and predictive factors associated with failed labor epidural augmentation for cesarean delivery. Data of parturients, who had received neuraxial labor analgesia and who subsequently required intrapartum cesarean delivery during an 18-mo period, were retrospectively studied. Predictors associated with failure of extension of epidural analgesia in the presence of adequate time for onset of epidural anesthesia were identified by univariate logistic regression. Of the 1025 parturients, 1.7% had failed epidural extension. Predictors of failed epidural anesthesia included initiation of labor analgesia with plain epidural technique (compared to combined spinal-epidural) (P = 0.001), >or=2 episodes of breakthrough pain during labor (P < 0.001) and prolonged duration of neuraxial labor analgesia (P = 0.02).

Links

Aggregator Full Text

Authors+Show Affiliations

Lee S
Department of Women's Anesthesia, KK Women's and Children's Hospital, Singapore, Republic of Singapore.
Lew E
No affiliation info available
Lim Y
No affiliation info available
Sia AT
No affiliation info available

MeSH

Analgesia, EpiduralAnalgesia, ObstetricalAnalgesia, Patient-ControlledAnesthesia, EpiduralAnesthesia, ObstetricalAnesthesia, SpinalAnesthetics, LocalCesarean SectionFemaleHumansInfusions, ParenteralLabor PainOdds RatioPain MeasurementPregnancyRetrospective StudiesRisk AssessmentTreatment Failure

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19095859

Citation

Lee, Shuying, et al. "Failure of Augmentation of Labor Epidural Analgesia for Intrapartum Cesarean Delivery: a Retrospective Review." Anesthesia and Analgesia, vol. 108, no. 1, 2009, pp. 252-4.
Lee S, Lew E, Lim Y, et al. Failure of augmentation of labor epidural analgesia for intrapartum cesarean delivery: a retrospective review. Anesth Analg. 2009;108(1):252-4.
Lee, S., Lew, E., Lim, Y., & Sia, A. T. (2009). Failure of augmentation of labor epidural analgesia for intrapartum cesarean delivery: a retrospective review. Anesthesia and Analgesia, 108(1), 252-4. https://doi.org/10.1213/ane.0b013e3181900260
Lee S, et al. Failure of Augmentation of Labor Epidural Analgesia for Intrapartum Cesarean Delivery: a Retrospective Review. Anesth Analg. 2009;108(1):252-4. PubMed PMID: 19095859.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Failure of augmentation of labor epidural analgesia for intrapartum cesarean delivery: a retrospective review. AU - Lee,Shuying, AU - Lew,Eileen, AU - Lim,Yvonne, AU - Sia,Alex T, PY - 2008/12/20/entrez PY - 2008/12/20/pubmed PY - 2009/1/22/medline SP - 252 EP - 4 JF - Anesthesia and analgesia JO - Anesth Analg VL - 108 IS - 1 N2 - In this study, we aimed to identify the incidence and predictive factors associated with failed labor epidural augmentation for cesarean delivery. Data of parturients, who had received neuraxial labor analgesia and who subsequently required intrapartum cesarean delivery during an 18-mo period, were retrospectively studied. Predictors associated with failure of extension of epidural analgesia in the presence of adequate time for onset of epidural anesthesia were identified by univariate logistic regression. Of the 1025 parturients, 1.7% had failed epidural extension. Predictors of failed epidural anesthesia included initiation of labor analgesia with plain epidural technique (compared to combined spinal-epidural) (P = 0.001), >or=2 episodes of breakthrough pain during labor (P < 0.001) and prolonged duration of neuraxial labor analgesia (P = 0.02). SN - 1526-7598 UR - https://www.unboundmedicine.com/medline/citation/19095859/Failure_of_augmentation_of_labor_epidural_analgesia_for_intrapartum_cesarean_delivery:_a_retrospective_review_ L2 - https://doi.org/10.1213/ane.0b013e3181900260 DB - PRIME DP - Unbound Medicine ER -