Medically induced labor: Epidural analgesia and women’sperceptions of pain in early labor

European Journal of Midwifery

卷:2

Laura Kjær Jacobsen¹  Helle Haslund¹  Birgitte Schantz Laursen²  Christina Brock³ 

[1] Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark;

[2] Department of Clinical Medicine, Aalborg University, Aalborg, Denmark;

[3] Mech-Sense (Center of Pain and Gatroenterology Research), Department of Gastroenterology and Hepatology, Aalborg University Hospital, Aalborg, Denmark;

关键词: epidural analgesia;    induction of labor;    childbirth;    labor pain;    medically induced labor;    spontaneous labor;   

DOI  :  10.18332/ejm/99545

来源: DOAJ

【 摘 要 】

IntroductionApproximately 25% of all deliveries in Denmark are medically induced,typically characterized by more intense uterine contractions. The aim of this paper is toinvestigate the differences in the administration of epidural analgesia and pain experiencebetween spontaneous and medically induced labor in nulliparous and multiparous women.MethodsThis is a prospective case-controlled study of 100 participating women in labor.The primary outcome was the timing of administration of epidural analgesia, by deliveryprogression and frequency. Pain scores were indicated by the McGill Pain Questionnaireand the duration of pain was also notified.ResultsIn nulliparous and multiparous women, medically induced labor was associatedwith earlier administration of epidural analgesia in relation to the onset of labor pain,compared to women with a spontaneous onset of labor (10.4 vs 26.10 hours, p=0.0).There was a trend, however not statistical, in the use of epidural analgesia in relationto delivery progression, assessed as dilation of the cervix (3 cm vs 4.5 cm, p=0.07)and towards higher frequency for medically induced labor (51.5% vs 32.8%, p=0.07).In nulliparous women, a reduced period of labor pain was shown in medically induceddeliveries compared to spontaneous deliveries (9.30 vs 19.00 hours, p=0.03). However, nosignificant differences in experienced pain were shown (Score: 28.70 vs 29.60, p=0.194).ConclusionsEpidural analgesia was administered earlier, and duration of experiencedpain was shorter in medically induced labor, in comparison to spontaneous deliveries.However, the experienced pain was not different, possibly explained by a more intenselabor process.

【 授权许可】

Unknown