The safety of epidural analgesia in labour and its effect on delivery ― a case control study in Pakistani women
To assess the safety and effect of epidural analgesia on the course of labour and delivery in Pakistani women, a retrospective case control study was conducted from November, 1986 to November, 1991 (5 years) at the Aga Khan University Medical Centre, Karachi. All patients (n = 64) who received epidu...
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| Veröffentlicht in: | Journal of the Pakistan Medical Association 1993-06, Vol.43 (6), p.115-117 |
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| container_title | Journal of the Pakistan Medical Association |
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| creator | KHAN, K. S KHAN, B. F SAADIA RASUL CHOHAN, U |
| description | To assess the safety and effect of epidural analgesia on the course of labour and delivery in Pakistani women, a retrospective case control study was conducted from November, 1986 to November, 1991 (5 years) at the Aga Khan University Medical Centre, Karachi. All patients (n = 64) who received epidural analgesia for labour (cases) were compared with randomly selected patients (n = 18) who did not receive epidural analgesia during labour (controls). The cases and controls were matched for age, height, body mass index, parity, use of oxytocin, presentation and weight of the foetus. There was no significant difference (P > 0.05) between the two groups in duration of labour, caesarean section rate and foetal apgar scores at 1 and 5 minutes after birth. The incidence of malposition of foetal vertex at delivery and that of instrumental (forceps) deliveries was significantly higher (P < 0.05 and < 0.01 respectively) in the epidural group as compared to controls. The incidence of complications was low and the acceptance and tolerance of epidural analgesia was good in our patients. |
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S ; KHAN, B. F ; SAADIA RASUL ; CHOHAN, U</creator><creatorcontrib>KHAN, K. S ; KHAN, B. F ; SAADIA RASUL ; CHOHAN, U</creatorcontrib><description>To assess the safety and effect of epidural analgesia on the course of labour and delivery in Pakistani women, a retrospective case control study was conducted from November, 1986 to November, 1991 (5 years) at the Aga Khan University Medical Centre, Karachi. All patients (n = 64) who received epidural analgesia for labour (cases) were compared with randomly selected patients (n = 18) who did not receive epidural analgesia during labour (controls). The cases and controls were matched for age, height, body mass index, parity, use of oxytocin, presentation and weight of the foetus. There was no significant difference (P > 0.05) between the two groups in duration of labour, caesarean section rate and foetal apgar scores at 1 and 5 minutes after birth. The incidence of malposition of foetal vertex at delivery and that of instrumental (forceps) deliveries was significantly higher (P < 0.05 and < 0.01 respectively) in the epidural group as compared to controls. The incidence of complications was low and the acceptance and tolerance of epidural analgesia was good in our patients.</description><identifier>ISSN: 0030-9982</identifier><identifier>PMID: 8411613</identifier><identifier>CODEN: JJPAD4</identifier><language>eng</language><publisher>Karachi: Pakistan Medical Association</publisher><subject>Adult ; Analgesia, Epidural - adverse effects ; Analgesia, Obstetrical - adverse effects ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Case-Control Studies ; Cesarean Section - statistics & numerical data ; Delivery, Obstetric - instrumentation ; Delivery. Postpartum. Lactation ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Labor, Obstetric - drug effects ; Local anesthesia. Pain (treatment) ; Medical sciences ; Obstetric Labor Complications ; Obstetrical techniques ; Pakistan ; Pregnancy ; Retrospective Studies ; Tropical medicine</subject><ispartof>Journal of the Pakistan Medical Association, 1993-06, Vol.43 (6), p.115-117</ispartof><rights>1994 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3984602$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8411613$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KHAN, K. S</creatorcontrib><creatorcontrib>KHAN, B. F</creatorcontrib><creatorcontrib>SAADIA RASUL</creatorcontrib><creatorcontrib>CHOHAN, U</creatorcontrib><title>The safety of epidural analgesia in labour and its effect on delivery ― a case control study in Pakistani women</title><title>Journal of the Pakistan Medical Association</title><addtitle>J Pak Med Assoc</addtitle><description>To assess the safety and effect of epidural analgesia on the course of labour and delivery in Pakistani women, a retrospective case control study was conducted from November, 1986 to November, 1991 (5 years) at the Aga Khan University Medical Centre, Karachi. All patients (n = 64) who received epidural analgesia for labour (cases) were compared with randomly selected patients (n = 18) who did not receive epidural analgesia during labour (controls). The cases and controls were matched for age, height, body mass index, parity, use of oxytocin, presentation and weight of the foetus. There was no significant difference (P > 0.05) between the two groups in duration of labour, caesarean section rate and foetal apgar scores at 1 and 5 minutes after birth. The incidence of malposition of foetal vertex at delivery and that of instrumental (forceps) deliveries was significantly higher (P < 0.05 and < 0.01 respectively) in the epidural group as compared to controls. The incidence of complications was low and the acceptance and tolerance of epidural analgesia was good in our patients.</description><subject>Adult</subject><subject>Analgesia, Epidural - adverse effects</subject><subject>Analgesia, Obstetrical - adverse effects</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Delivery, Obstetric - instrumentation</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Labor, Obstetric - drug effects</subject><subject>Local anesthesia. Pain (treatment)</subject><subject>Medical sciences</subject><subject>Obstetric Labor Complications</subject><subject>Obstetrical techniques</subject><subject>Pakistan</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Tropical medicine</subject><issn>0030-9982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM9KxDAYxHtQ1nX1EYTvIN4W0iZp06OI_2BBD-u5fE1SjaZJN0mV3nwJX9AnccXiaWDmN3OYg2xJCCXruhbFUXYc4yshRckJWWQLwfK8zOky221fNETsdJrAd6AHo8aAFtChfdbRIBgHFls_hr2nwKQIuuu0TOAdKG3Nuw4TfH9-AYLEqEF6l4K3ENOopt_2I76ZmNAZ-PC9difZYYc26tNZV9nTzfX26m69ebi9v7rcrIeck7RuJc8lk1ILyjrWCqoEZ6UsOQrBuWpJrpSibVXJTjIUyLEoUeWEcSGQspausou_3SH43ahjanoTpbYWnfZjbKqSkIoU9R48m8Gx7bVqhmB6DFMzf7TPz-cco0TbBXTSxH-M1oKVpKA_qIxwbw</recordid><startdate>199306</startdate><enddate>199306</enddate><creator>KHAN, K. S</creator><creator>KHAN, B. 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Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Delivery, Obstetric - instrumentation</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Labor, Obstetric - drug effects</topic><topic>Local anesthesia. Pain (treatment)</topic><topic>Medical sciences</topic><topic>Obstetric Labor Complications</topic><topic>Obstetrical techniques</topic><topic>Pakistan</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><topic>Tropical medicine</topic><toplevel>online_resources</toplevel><creatorcontrib>KHAN, K. S</creatorcontrib><creatorcontrib>KHAN, B. F</creatorcontrib><creatorcontrib>SAADIA RASUL</creatorcontrib><creatorcontrib>CHOHAN, U</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Pakistan Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KHAN, K. S</au><au>KHAN, B. F</au><au>SAADIA RASUL</au><au>CHOHAN, U</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The safety of epidural analgesia in labour and its effect on delivery ― a case control study in Pakistani women</atitle><jtitle>Journal of the Pakistan Medical Association</jtitle><addtitle>J Pak Med Assoc</addtitle><date>1993-06</date><risdate>1993</risdate><volume>43</volume><issue>6</issue><spage>115</spage><epage>117</epage><pages>115-117</pages><issn>0030-9982</issn><coden>JJPAD4</coden><abstract>To assess the safety and effect of epidural analgesia on the course of labour and delivery in Pakistani women, a retrospective case control study was conducted from November, 1986 to November, 1991 (5 years) at the Aga Khan University Medical Centre, Karachi. All patients (n = 64) who received epidural analgesia for labour (cases) were compared with randomly selected patients (n = 18) who did not receive epidural analgesia during labour (controls). The cases and controls were matched for age, height, body mass index, parity, use of oxytocin, presentation and weight of the foetus. There was no significant difference (P > 0.05) between the two groups in duration of labour, caesarean section rate and foetal apgar scores at 1 and 5 minutes after birth. The incidence of malposition of foetal vertex at delivery and that of instrumental (forceps) deliveries was significantly higher (P < 0.05 and < 0.01 respectively) in the epidural group as compared to controls. The incidence of complications was low and the acceptance and tolerance of epidural analgesia was good in our patients.</abstract><cop>Karachi</cop><pub>Pakistan Medical Association</pub><pmid>8411613</pmid><tpages>3</tpages></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Analgesia, Epidural - adverse effects Analgesia, Obstetrical - adverse effects Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Case-Control Studies Cesarean Section - statistics & numerical data Delivery, Obstetric - instrumentation Delivery. Postpartum. Lactation Female Gynecology. Andrology. Obstetrics Humans Labor, Obstetric - drug effects Local anesthesia. Pain (treatment) Medical sciences Obstetric Labor Complications Obstetrical techniques Pakistan Pregnancy Retrospective Studies Tropical medicine |
| title | The safety of epidural analgesia in labour and its effect on delivery ― a case control study in Pakistani women |
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