Document Detail


Does epidural analgesia affect the rate of spontaneous obstetric lacerations in normal births?
MedLine Citation:
PMID:  17207748     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The precise relationship between epidural use and genital tract lacerations in normal childbirth is unclear. Data from a clinical trial on measures to lower genital tract trauma in vaginal birth were used for a secondary analysis. The goal was to assess whether epidurals affect the rate of spontaneous obstetric lacerations in normal vaginal births. Maternal characteristics and intrapartum variables were compared in women who did and did not use an epidural in labor, and also in those with and without any sutured lacerations following vaginal birth. Variables that were statistically different in both cases were entered into regression equations for simultaneous adjustment. Epidural use was not an independent predictor of sutured lacerations. Predictors of sutured lacerations included nulliparity, a prolonged second stage, being non-Hispanic white, and an infant birthweight greater than 4000 grams. Elements of midwifery management need further research.
Authors:
Leah L Albers; Laura Migliaccio; Edward J Bedrick; Dusty Teaf; Patricia Peralta
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of midwifery & women's health     Volume:  52     ISSN:  1542-2011     ISO Abbreviation:  J Midwifery Womens Health     Publication Date:    2007 Jan-Feb
Date Detail:
Created Date:  2007-01-08     Completed Date:  2007-02-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100909407     Medline TA:  J Midwifery Womens Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-6     Citation Subset:  IM; N    
Affiliation:
University of New Mexico College of Nursing, Nursing/Pharmacy Building, Room 216, Albuquerque, NM 87131-5688, USA. lalbers@salud.unm.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesia, Epidural / adverse effects*,  nursing,  statistics & numerical data
Analgesia, Obstetrical / adverse effects*,  nursing,  statistics & numerical data
Female
Genitalia, Female / injuries
Humans
Infant, Newborn
Labor Stage, Second
Lacerations / epidemiology,  etiology*,  nursing
Natural Childbirth / methods*,  nursing,  statistics & numerical data
New Mexico / epidemiology
Obstetric Labor Complications / epidemiology,  nursing*,  prevention & control
Perineum / injuries*
Pregnancy
Prospective Studies
Randomized Controlled Trials as Topic
Grant Support
ID/Acronym/Agency:
1 R01 NR05252-01A1/NR/NINR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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