The relationship between resited epidural catheters after secondary epidural catheter failure and vaginal delivery: A retrospective case‐control study
Acta Anaesthesiologica Scandinavica Dec 16, 2020
Orbach‐Zinger S, Eidelman LA, Wazwaz SA, et al. - In view of the observation that in some cases, epidural analgesia is initially effective but subsequently fails and needs to be resited, researchers here compared parturients who had resited epidurals with parturients with epidurals that were not resited with respect to the rate of normal vaginal delivery and operative delivery. Performing a retrospective electronic medical review of parturients with a singleton gestation attempting normal vaginal delivery under epidural analgesia, they identified 35,984 attempted vaginal deliveries. Of these, 118 had resited epidurals and 472 had non‐resited epidurals. Results from this single‐center cohort analysis suggest no correlation of requiring labor epidural catheter replacement with need for operative delivery.
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