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Submitted: 16 May 2007 Modified: 26 October 2018
HERDIN Record #: PCHRDPC930718

The effect of epidural anesthesia on the process and outcome of actively managed labor.

 De Jesus MA

A retrospective study of 245 term deliveries with cephalic fetal presentation in nulliparas is presented. Progress and outcome of actively managed labor in the epidural group (N = 133) were compared in 112 women who received narcotics for analgesia. There is no association between epidural anesthesia and the increased incidence of malpresentation, cesarean section rate for dystocia, and the number of instrumental vaginal deliveries. The duration of the first stage was comparable in the two groups. However, the second stage of labor was significantly prolonged in the epidural group (P.05). There was no significant difference between the two groups in terms of neonatal APGAR score. This study suggests that a longer period of waiting during the second stage of labor be employed to eliminate unnecessary forceps and cesarean deliveries. (Author)

Publication Type
POGS 1992 Annual Convention and 46th Anniversary Celebration
Place of Publication
Manila, PICC
November 26-28, 1992
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Abstract Print Format (Request Document)