The Effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes: A Retrospective Cohort Study in Qatar
<h3>Objective</h3> <p>Epidural Analgesia (EA) is commonly used method to alleviate labor pain. In the present study, we aimed to describe the maternal and neonatal morbidities associated with EA.</p> <h3>Methods</h3> <p>A retrospective cohort data analysis o...
محفوظ في:
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| مؤلفون آخرون: | , , , |
| منشور في: |
2023
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| الموضوعات: | |
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إضافة وسم
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| _version_ | 1864513557822963712 |
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| author | Ismail Sabry Abdelhady (17136375) |
| author2 | Elsayed Ibrahim Salama (17136376) Sabry Naser Ahmed (17136379) Alaa Masry (17040113) Ashraf Gad (17040114) |
| author2_role | author author author author |
| author_facet | Ismail Sabry Abdelhady (17136375) Elsayed Ibrahim Salama (17136376) Sabry Naser Ahmed (17136379) Alaa Masry (17040113) Ashraf Gad (17040114) |
| author_role | author |
| dc.creator.none.fl_str_mv | Ismail Sabry Abdelhady (17136375) Elsayed Ibrahim Salama (17136376) Sabry Naser Ahmed (17136379) Alaa Masry (17040113) Ashraf Gad (17040114) |
| dc.date.none.fl_str_mv | 2023-10-12T10:58:21Z |
| dc.identifier.none.fl_str_mv | 10.57945/manara.24190935.v1 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/poster/The_Effect_of_Epidural_Analgesia_on_Maternal_and_Early_Neonatal_Outcomes_A_Retrospective_Cohort_Study_in_Qatar/24190935 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Reproductive medicine Epidural Analgesia Labour Nulliparous Qatari Outcome Neonate Pregnancy |
| dc.title.none.fl_str_mv | The Effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes: A Retrospective Cohort Study in Qatar |
| dc.type.none.fl_str_mv | Image Poster info:eu-repo/semantics/publishedVersion image |
| description | <h3>Objective</h3> <p>Epidural Analgesia (EA) is commonly used method to alleviate labor pain. In the present study, we aimed to describe the maternal and neonatal morbidities associated with EA.</p> <h3>Methods</h3> <p>A retrospective cohort data analysis of the PEARL-Peristat Study. Our sample consisted of a total of 7721 singleton vaginal births occurred at the Woman’s hospital between January 2017 and April 2018. occurred at the Woman’s hospital between January 2017 and April 2018. Pregnancy characteristics and maternal and neonatal outcomes were compared between the two groups. Regression analysis was constructed to identify factors associated with the use of EA.</p> <h3>Results</h3> <p>Out of the total participants, 2969 women (38.5%) received epidural analgesia (EA) during labor. Several maternal and pregnancy factors were significantly associated with the use of EA, including Qatari nationality (adjusted odds ratio (aOR) 1.31, 95% confidence interval (CI) 2.10 (1.81-2.44), p<0.001), low parity (aOR 0.79 (0.66-0.96),p=0.017), vaginal birth after Cesarean (aOR 1.92 (1.51-2.45), p<0.001), labor induction (aOR 1.60 (1.39-1.85), p<0.001), prolonged first stage of labor (aOR 1.01 (1.01-1.02), p<0.001), and prolonged second stage of labor (aOR 1.01 (1.01-1.02), p<0.001). Among maternal and neonatal outcome variables, intrapartum fever (aOR 4.43 (1.47-13.38), p=0.008), instrumental delivery (aOR 4.43 (1.47-13.38), p=0.003), and reduced risk of meconium stained amniotic fluid (aOR 0.74 (0.55-0.99), p=0.040) were significantly associated with EA use during labor.</p> <h3>Conclusion</h3> <p>The study identified key factors associated with EA use during labor, including nationality, parity, birth type, labor stages, and specific maternal and neonatal outcomes. Further research is needed to better understand these associations and optimize EA use in labor management.</p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_4c925b44638469544d330b6459b5d7f0 |
| identifier_str_mv | 10.57945/manara.24190935.v1 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24190935 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The Effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes: A Retrospective Cohort Study in QatarIsmail Sabry Abdelhady (17136375)Elsayed Ibrahim Salama (17136376)Sabry Naser Ahmed (17136379)Alaa Masry (17040113)Ashraf Gad (17040114)Biomedical and clinical sciencesClinical sciencesReproductive medicineEpidural AnalgesiaLabourNulliparousQatariOutcomeNeonatePregnancy<h3>Objective</h3> <p>Epidural Analgesia (EA) is commonly used method to alleviate labor pain. In the present study, we aimed to describe the maternal and neonatal morbidities associated with EA.</p> <h3>Methods</h3> <p>A retrospective cohort data analysis of the PEARL-Peristat Study. Our sample consisted of a total of 7721 singleton vaginal births occurred at the Woman’s hospital between January 2017 and April 2018. occurred at the Woman’s hospital between January 2017 and April 2018. Pregnancy characteristics and maternal and neonatal outcomes were compared between the two groups. Regression analysis was constructed to identify factors associated with the use of EA.</p> <h3>Results</h3> <p>Out of the total participants, 2969 women (38.5%) received epidural analgesia (EA) during labor. Several maternal and pregnancy factors were significantly associated with the use of EA, including Qatari nationality (adjusted odds ratio (aOR) 1.31, 95% confidence interval (CI) 2.10 (1.81-2.44), p<0.001), low parity (aOR 0.79 (0.66-0.96),p=0.017), vaginal birth after Cesarean (aOR 1.92 (1.51-2.45), p<0.001), labor induction (aOR 1.60 (1.39-1.85), p<0.001), prolonged first stage of labor (aOR 1.01 (1.01-1.02), p<0.001), and prolonged second stage of labor (aOR 1.01 (1.01-1.02), p<0.001). Among maternal and neonatal outcome variables, intrapartum fever (aOR 4.43 (1.47-13.38), p=0.008), instrumental delivery (aOR 4.43 (1.47-13.38), p=0.003), and reduced risk of meconium stained amniotic fluid (aOR 0.74 (0.55-0.99), p=0.040) were significantly associated with EA use during labor.</p> <h3>Conclusion</h3> <p>The study identified key factors associated with EA use during labor, including nationality, parity, birth type, labor stages, and specific maternal and neonatal outcomes. Further research is needed to better understand these associations and optimize EA use in labor management.</p>2023-10-12T10:58:21ZImagePosterinfo:eu-repo/semantics/publishedVersionimage10.57945/manara.24190935.v1https://figshare.com/articles/poster/The_Effect_of_Epidural_Analgesia_on_Maternal_and_Early_Neonatal_Outcomes_A_Retrospective_Cohort_Study_in_Qatar/24190935CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/241909352023-10-12T10:58:21Z |
| spellingShingle | The Effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes: A Retrospective Cohort Study in Qatar Ismail Sabry Abdelhady (17136375) Biomedical and clinical sciences Clinical sciences Reproductive medicine Epidural Analgesia Labour Nulliparous Qatari Outcome Neonate Pregnancy |
| status_str | publishedVersion |
| title | The Effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes: A Retrospective Cohort Study in Qatar |
| title_full | The Effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes: A Retrospective Cohort Study in Qatar |
| title_fullStr | The Effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes: A Retrospective Cohort Study in Qatar |
| title_full_unstemmed | The Effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes: A Retrospective Cohort Study in Qatar |
| title_short | The Effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes: A Retrospective Cohort Study in Qatar |
| title_sort | The Effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes: A Retrospective Cohort Study in Qatar |
| topic | Biomedical and clinical sciences Clinical sciences Reproductive medicine Epidural Analgesia Labour Nulliparous Qatari Outcome Neonate Pregnancy |