Duration Of Labor/Cesarean Delivery With Epidural Analge

硬膜外镇痛分娩/剖腹产持续时间

• 批准号: 6541323
• 负责人: JIM ZHANG
• 金额: --
• 依托单位: EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6541323
• 关键词: birth; cesarean section; clinical research; epidemiology; epidural anesthesia; human data; hyperthermia; obstetrics; outcomes research; parity; postoperative state; posture

In collaboration with investigators at the Tripler Army Medical Center, Hawaii, we developed a proposal to examine the effects of epidural analgesia on the course of labor and cesarean delivery rate in nullipara. We selected two periods: from October 1992 to September 1993 when epidural analgesia was not available, and from October 1995 to Spetember 1996 when epidural analgesia was used in 65% of births. Detailed information on maternal demographic characteristics, course of labor and delivery, and labor analgesia were extracted from the medical records (about 600 patients in each period). We have completed data collection. In the data analysis, we compared the duration of labor and rates of cesarean delivery between these two periods. In addition, we examined whether epidural analgesia increases the incidence of occiput posterior position and maternal hyperthermia. Data analyses are being conducted.

在与夏威夷三元军陆军医疗中心的调查人员合作的情况下，我们开发了一项建议，以检查硬膜外镇痛对纳利帕拉的劳动和剖宫产交付率的影响。我们选择了两个时期：从1992年10月到1993年9月没有硬膜外镇痛，从1995年10月到1996年11月，当时在65％的出生中使用硬膜外镇痛。从病历中提取了有关母体人口特征，人工和分娩过程以及劳动镇痛的详细信息（每个时期约600名患者）。我们已经完成了数据收集。在数据分析中，我们比较了这两个时期之间的劳动持续时间和剖宫产率。此外，我们检查了硬膜外镇痛是否会增加枕骨后位置和母体高温的发生率。正在进行数据分析。