12/23/2023 0 Comments Retrospective research![]() To investigate the association of labor epidural analgesia with neonatal outcomes and childhood development during the first 1000 days of life. 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.Īlthough use of epidural analgesia during labor is safe, detailed information about its association with neonatal and child outcomes is limited. ![]() 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).Įpidural anesthesia affects the delivery mechanism leading to an increase in the number and intensity of additional medical procedures - episiotomy, perineal laceration, operative delivery. 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. 27,340 cases were qualified for the analysis. Sofia in Warsaw was used to create an anonymous retrospective database of all births in the years 2015-2020. Electronic documentation of patients of the Hospital of St. This was a single-center retrospective cohort study. 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. The advantage of this type of analgesia is primarily analgesic effectiveness. In Poland, in accordance with applicable regulations, every woman should have access to epidural anesthesia.
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