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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Currently 3046 records
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Created on : 22 Aug 2018
Modified on : 04 Nov 2018

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Bibliographical entry (without author) :

Comparison of intermittent and continuous epidural analgesia on delivery and progression of labour. J Obstet Gynaecol. Volume 31, 2011 - Issue 2, p. 134-138.

Author(s) :

Skrablin S., Grgic O., Mihaljevic S., Blajic J.

Year of publication :

2011

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/21281028
https://doi.org/10.3109/01443615.2010.542840

Résumé (français)  :

Dans cette étude, 205 parturientes nullipares ont été recrutées pour recevoir une analgésie péridurale intermittente (n = 101) ou continue (n = 104) pendant le travail. Le critère principal était le taux d’accouchement par césarienne, tandis que les résultats secondaires comprenaient le taux d’expression abdominale, la durée du travail à partir de l’administration de l’analgésie, la dose d’anesthésie et l’issue maternelle et néonatale à court terme entre deux groupes.

Le taux d’accouchement par césarienne était significativement augmenté dans le groupe continu (15/104 vs 5/101, p = 0,02), ainsi que le taux d’expression abdominale (24/104 vs 11/101, p = 0,02) et la dose de fentanyl (100 [100-300] vs 187,5 [125-450] pg, p 0,001 et lévobupivacaïne (40 [40-60] vs 75 [50-90] ml, p 0,001). La durée de l’accouchement à partir de l’administration de l’analgésie n’était pas significativement différente entre les deux groupes (414 ± 101 vs 432 ± 94 min, p = 0,12).

Abstract (English)  :

In this study, 205 nulliparous parturients were enrolled to receive either intermittent (n = 101) or continuous (n = 104) type of epidural analgesia in labour. The primary outcome was rate of caesarean deliveries, whereas secondary outcomes included rate of fundal pressure manoeuvres, duration of labour from application of analgesia, dose of anaesthetic and short-term maternal and neonatal outcome between two groups.

Rate of caesarean deliveries was significantly increased in the continuous group (15/104 vs 5/101, p = 0.02), as well as rate of fundal pressure manoeuvres (24/104 vs 11/101, p = 0.02) and dose of fentanyl (100 [100-300] vs 187.5 [125-450] μg, p  0.001 and levobupivacaine (40 [40-60] vs 75 [50-90] ml, p  0.001). Duration of labour from analgesia to delivery was not significantly different between the two groups (414 ± 101 vs 432 ± 94 min, p = 0.12).

Sumário (português)  :

Neste estudo, 205 parturientes nulíparas foram recrutadas para receber analgesia peridural intermitente (n = 101) ou contínua (n = 104) em trabalho de parto. O desfecho primário foi a taxa de partos cesáreos, enquanto os desfechos secundários incluíram taxa de manobras de pressão do fundo, duração do trabalho de parto da aplicação de analgesia, dose de anestésico e resultado materno e neonatal de curto prazo entre dois grupos.

A numero de cesariana foi significativamente aumentada no grupo contínuo (15/104 vs 5/101, p = 0,02), assim como a taxa de manobras de pressão basal (24/104 vs 11/101, p = 0,02) e dose de fentanil (100 [100-300] vs 187,5 [125-450] μg, p 0,001 e levobupivacaína (40 [40-60] vs 75 [50-90] ml, p 0,001). Duração do trabalho de parto da analgesia até o parto não diferiu significativamente entre os dois grupos (414 ± 101 vs 432 ± 94 min, p = 0,12).

Comments :

Les résultats de santé materno-fœtale ne font pas partie des conclusions finalement…

Argument (français) :

Le critère principal était le taux d’accouchement par césarienne, tandis que les résultats secondaires comprenaient le taux d’expression abdominale, la durée du travail à partir de l’administration de l’analgésie, la dose d’anesthésie et l’issue maternelle et néonatale à court terme entre deux groupes.

Argument (English):

The primary outcome was rate of caesarean deliveries, whereas secondary outcomes included rate of fundal pressure manoeuvres, duration of labour from application of analgesia, dose of anaesthetic and short-term maternal and neonatal outcome between two groups.

Argumento (português):

O desfecho primário foi a taxa de cesariana, enquanto os desfechos secundários incluíram taxa de expressão abdominal, duração do trabalho de parto a partir de analgesia, dose de anestesia e desfecho materno. e neonatal de curto prazo entre dois grupos.

Keywords :

➡ c-section/caesarean ; duration of labour ; fundal pressure ; epidural

Author of this record :

Alison Passieux — 22 Aug 2018
➡ latest update : Bernard Bel — 04 Nov 2018

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