Effects of epidural lidocaine analgesia on labor and delivery: A randomized, prospective, controlled trial

Effects of epidural lidocaine analgesia on labor and delivery: A randomized, prospective, controlled trial

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Abstract Background Whether epidural analgesia for labor prolongs the active-first and second labor stages and increases the risk of vacuum-assisted delivery is a controversial topic.Our study was conducted to answer the question: does lumbar epidural analgesia with lidocaine affect the progress insulated debakey of labor in our obstetric population? Method 395 healthy, nulliparous women, at term, presented in spontaneous labor with a singleton vertex presentation.These patients were randomized to receive analgesia either, epidural with bolus doses of 1% lidocaine or intravenous, with meperidine 25 to 50 mg when their cervix was dilated to 4 centimeters.The duration of the active-first and second stages of labor and the neonatal apgar scores were recorded, in each patient.

The total number of vacuum-assisted and cesarean deliveries were also measured.Results 197 women were randomized to the epidural group.198 women were randomized 7.5ft heavy duty gold metal round wedding arch photo backdrop stand to the single-dose intravenous meperidine group.There was no statistical difference in rates of vacuum-assisted delivery rate.

Cesarean deliveries, as a consequence of fetal bradycardia or dystocia, did not differ significantly between the groups.Differences in the duration of the active-first and the second stages of labor were not statistically significant.The number of newborns with 1-min and 5-min Apgar scores less than 7, did not differ significantly between both analgesia groups.Conclusion Epidural analgesia with 1% lidocaine does not prolong the active-first and second stages of labor and does not increase vacuum-assisted or cesarean delivery rate.