Labor risk factors for fetal heart rate abnormality after combined spinal‐epidural analgesia

Labor risk factors for fetal heart rate abnormality after combined spinal‐epidural analgesia

Objective To explore the association between obstetric factors or outcomes and fetal heart rate (FHR) abnormalities after combined spinal‐epidural analgesia (CSEA). Methods Women with singleton term deliveries who received CSEA at our institution between January 1 and December 31, 2017, were analyze...

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Veröffentlicht in:International journal of gynecology and obstetrics 2023-03, Vol.160 (3), p.892-899
Hauptverfasser: Yamamoto, Yoshiko, Umehara, Nagayoshi, Yamashita, Yoko, Sato, Masaki, Takehara, Kenji, Sago, Haruhiko
Format: Artikel
Sprache:eng
Schlagworte:
Analgesia, Epidural - adverse effects
Analgesia, Obstetrical - adverse effects
combined spinal‐epidural analgesia
Delivery, Obstetric
Female
fetal heart rate abnormality
Heart Rate, Fetal
Humans
labor analgesia
Labor, Obstetric
Pregnancy
Risk Factors
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Zusammenfassung:Objective To explore the association between obstetric factors or outcomes and fetal heart rate (FHR) abnormalities after combined spinal‐epidural analgesia (CSEA). Methods Women with singleton term deliveries who received CSEA at our institution between January 1 and December 31, 2017, were analyzed using medical records. We performed a logistic regression analysis to compare factors and outcomes between cases with and without new FHR abnormalities within 1 h after CSEA. Results Of the 393 women, 163 showed the new occurrence of FHR abnormality after CSEA. Rupture of the membrane (odds ratio [OR] 2.49; 95% confidence interval [CI] 1.52–4.09; P 
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.14421