Impact of labor analgesia on mode of delivery and neonatal outcomes in Japan: A retrospective cohort study.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2023
2023
Historique:
received:
05
07
2022
accepted:
29
03
2023
medline:
14
4
2023
entrez:
12
4
2023
pubmed:
13
4
2023
Statut:
epublish
Résumé
Labor analgesia (LA) is associated with the potential hazard of high-risk delivery, such as cesarean section (CS) and instrumental vaginal delivery (IVD), and adverse neonatal outcomes such as neonatal asphyxia and respiratory distress. The objective was to examine the impact of LA on mode of delivery and neonatal outcomes and to counsel pregnant women about a potentially higher risk and allow them to decide LA or non-LA. This retrospective cohort study containing 5,184 pregnant women analyzed the association between LA and both mode of delivery and neonatal outcomes. LA increased the risk of IVD (Adjusted Odds Ratio [AOR] 3.25, 95% confidence interval [95%CI] 2.51-4.20) but decreased that of CS (AOR 0.52, 95%CI 0.44-0.60). Two factors (advanced maternal age [AOR 1.70, 95%CI 1.33-2.17] and primipara [AOR 4.72, 95%CI 3.30-6.75]) increased the risk of IVD. We should carefully consider the indication of LA for cases with these two factors since LA can increase the risk of IVD and adverse neonatal outcomes.
Identifiants
pubmed: 37043470
doi: 10.1371/journal.pone.0284368
pii: PONE-D-22-18968
pmc: PMC10096281
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0284368Informations de copyright
Copyright: © 2023 Eguchi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Am Fam Physician. 2012 Mar 1;85(5):447-54
pubmed: 22534222
Cochrane Database Syst Rev. 2018 May 21;5:CD000331
pubmed: 29781504
Int J Gynaecol Obstet. 2015 Apr;129(1):17-21
pubmed: 25579749
Am J Obstet Gynecol. 2002 May;186(5 Suppl Nature):S31-68
pubmed: 12011872
Pain. 1984 Aug;19(4):321-337
pubmed: 6384895
J Matern Fetal Neonatal Med. 2018 May;31(10):1335-1341
pubmed: 28446049
Obstet Gynecol. 1999 Oct;94(4):600-7
pubmed: 10511367
Ginekol Pol. 2014 Dec;85(12):923-8
pubmed: 25669061
Anesthesiology. 2018 Jul;129(1):192-215
pubmed: 29561267
Pain. 2008 Nov 15;140(1):87-94
pubmed: 18818022
Eur J Obstet Gynecol Reprod Biol. 2014 Oct;181:135-9
pubmed: 25150951
Am J Obstet Gynecol. 2001 Jul;185(1):128-34
pubmed: 11483916
Obstet Gynecol. 1993 May;81(5 ( Pt 1)):764-7
pubmed: 8469469
N Engl J Med. 2010 Apr 22;362(16):1503-10
pubmed: 20410515
Curr Pain Headache Rep. 2016 Feb;20(2):11
pubmed: 26780039
Clin Nurs Res. 2018 Sep;27(7):841-852
pubmed: 28754057
Pediatrics. 2012 Feb;129(2):e447-54
pubmed: 22291120
J Obstet Gynaecol. 2013 Nov;33(8):781-6
pubmed: 24219713
JA Clin Rep. 2019 Jun 18;5(1):40
pubmed: 32026970
Arch Dis Child Fetal Neonatal Ed. 2014 Mar;99(2):F116-9
pubmed: 24170528
Acta Med Port. 2019 Mar 29;32(3):219-226
pubmed: 30946794