Does Epidural Analgesia Affect the Rate of Spontaneous Obstetric Lacerations in Normal Births?

Leah L. Albers, Laura Migliaccio, Edward J. Bedrick, Dusty Teaf, Patricia Peralta

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

The precise relationship between epidural use and genital tract lacerations in normal childbirth is unclear. Data from a clinical trial on measures to lower genital tract trauma in vaginal birth were used for a secondary analysis. The goal was to assess whether epidurals affect the rate of spontaneous obstetric lacerations in normal vaginal births. Maternal characteristics and intrapartum variables were compared in women who did and did not use an epidural in labor, and also in those with and without any sutured lacerations following vaginal birth. Variables that were statistically different in both cases were entered into regression equations for simultaneous adjustment. Epidural use was not an independent predictor of sutured lacerations. Predictors of sutured lacerations included nulliparity, a prolonged second stage, being non-Hispanic white, and an infant birthweight greater than 4000 grams. Elements of midwifery management need further research.

Original languageEnglish (US)
Pages (from-to)31-36
Number of pages6
JournalJournal of Midwifery and Women's Health
Volume52
Issue number1
DOIs
StatePublished - Jan 2007
Externally publishedYes

Keywords

  • childbirth
  • epidural analgesia
  • genital tract lacerations
  • midwifery
  • perineal trauma

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery

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