Effects of epidural lidocaine analgesia on labor and delivery: A randomized, prospective, controlled trial

Effects of epidural lidocaine analgesia on labor and delivery: A randomized, prospective, controlled trial

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Abstract Background Whether epidural analgesia for labor prolongs the active-first and second labor stages and increases the risk of vacuum-assisted delivery is a controversial topic.Our study was conducted to answer the question: does lumbar epidural analgesia with lidocaine affect the progress of labor in our obstetric population? Method 395 healthy, nulliparous women, at term, presented in spontaneous labor with a singleton vertex presentation.These patients were randomized to receive analgesia either, epidural with bolus doses of 1% lidocaine or intravenous, with meperidine 25 to 50 mg when their cervix was dilated to 4 centimeters.The duration of strikketøy oppbevaring the active-first and second stages of labor and the neonatal apgar scores were recorded, in each patient.

The total number of vacuum-assisted and cesarean deliveries were also measured.Results 197 women were randomized to the epidural group.198 women were randomized to the single-dose intravenous meperidine group.There was no statistical difference in rates of vacuum-assisted delivery rate.

Cesarean deliveries, as a consequence of fetal bradycardia or dystocia, did not differ significantly between the groups.Differences in the duration cga 200 to cga 510 adapter of the active-first and the second stages of labor were not statistically significant.The number of newborns with 1-min and 5-min Apgar scores less than 7, did not differ significantly between both analgesia groups.Conclusion Epidural analgesia with 1% lidocaine does not prolong the active-first and second stages of labor and does not increase vacuum-assisted or cesarean delivery rate.