Department of Obstetrics and Gynaecology, National University of Malaysia, Kuala Lumpur, Malaysia.
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Delayed pushing with lumbar epidural analgesia in labour
Article first published online: 23 AUG 2005
DOI: 10.1111/j.1471-0528.1983.tb09278.x
Issue
1471-0528/asset/cover.gif?v=1&s=b4e1d96c46e18c61210d584b63c13ee375cf562b "BJOG: An International Journal of Obstetrics & Gynaecology")
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 90, Issue 7, pages 623–627, July 1983
Additional Information
How to Cite
MARESH, M., CHOONG, K.-H. and BEARD, R. W. (1983), Delayed pushing with lumbar epidural analgesia in labour. BJOG: An International Journal of Obstetrics & Gynaecology, 90: 623–627. doi: 10.1111/j.1471-0528.1983.tb09278.x
Publication History
- Issue published online: 23 AUG 2005
- Article first published online: 23 AUG 2005
- Received 21 December 1982 Accepted 10 April 1983
- Abstract
- References
- Cited By
Summary. Seventy-six primigravidae with epidural analgesia were randomly assigned to one of two groups for management in the second stage. In one group the women delayed pushing and in the other they were managed conventionally. The two groups were well matched for maternal and infant characteristics, including position and level of the presenting part at full dilatation and fetal scalp blood pH. The mean waiting time in the second stage before pushing was increased from 27 min in the conven- tional group to 123 min in the delayed group. This delay was not associated with an increase in abnormal fetal heart rate abnormalities or any decrease in umbilical cord pH or Apgar scores. In contrast, the delay was associated with an increase in spontaneous deliveries and a decrease in forceps deliveries (P=0.06). These findings suggest a need for redefining the management of the second stage of labour with epidural analgesia.