Simanauskaite Atene, Kavaliauskaite Gabriele, Kacerauskiene Justina, Vilimiene Vilda
Faculty of Medicine, Medical Academy, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
Medicina (Kaunas). 2025 Apr 18;61(4):750. doi: 10.3390/medicina61040750.
: This study aimed to assess the impact of early epidural analgesia (EA) on the progression of labor and delivery outcomes among nulliparous women. : A retrospective analysis was conducted utilizing data from the Birth Registry of the Department of Obstetrics and Gynecology at LUHS. The dataset encompassed women who underwent childbirth between 1 January 2021 and 31 December 2021 and who received EA for labor pain management. A total of 89 women with low-risk deliveries and EA were included in the study. The cohort was divided into two groups: Group I-parturients who underwent early EA with cervical dilatation ≤3 cm-and Group II-parturients who underwent EA with cervical dilatation >3 cm but <7 cm. The results were processed using IBM SPSS. : Group I consisted of 25 (28.1%) women and Group II consisted of 64 (71.9%). The prevalence of obesity was higher in Group II ( = 0.021). Bishop score was statistically elevated in Group II ( = 0.018). Upon hospital admission, Group II exhibited greater cervical dilation ( = 0.001). The rate of cervical dilation was higher in Group II at 1.54 cm/h ( = 0.033). Episiotomy was more frequently performed in Group II ( = 0.014). The average durations of the first stage of labor ( = 0.045), the second stage of labor ( = 0.033), and the overall labor ( = 0.023) were prolonged in Group I. : The cervical dilation up to 10 cm occurs at a swifter pace when EA is administered following cervical dilation exceeding 3 cm. Notable associations were observed between EA and the incidence of episiotomy as well as the duration of labor stages. Early EA exhibited no impact on neonatal outcomes.
本研究旨在评估早期硬膜外镇痛（EA）对初产妇分娩进程及分娩结局的影响。：利用卢瑟福大学医院妇产科出生登记处的数据进行回顾性分析。该数据集涵盖了2021年1月1日至2021年12月31日期间分娩且接受EA进行分娩疼痛管理的女性。共有89例低风险分娩且接受EA的女性纳入研究。该队列分为两组：第一组——宫颈扩张≤3 cm时接受早期EA的产妇——和第二组——宫颈扩张>3 cm但<7 cm时接受EA的产妇。结果使用IBM SPSS进行处理。：第一组由25名（28.1%）女性组成，第二组由64名（71.9%）女性组成。第二组肥胖患病率更高（P = 0.021）。第二组Bishop评分在统计学上更高（P = 0.018）。入院时，第二组宫颈扩张更大（P = 0.001）。第二组宫颈扩张率更高，为1.54 cm/h（P = 0.033）。第二组更频繁地进行会阴切开术（P = 0.014）。第一组第一产程（P = 0.045）、第二产程（P = 0.033）及总产程（P = 0.023）的平均时长延长。：当宫颈扩张超过3 cm后给予EA时，宫颈扩张至10 cm的速度更快。观察到EA与会阴切开术发生率及产程时长之间存在显著关联。早期EA对新生儿结局无影响。
