Segmental Epidural Analgesia in Labour: Related to the Progress of Labour, Fetal Malposition and Instrumental Delivery

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Abstract
The effect of low-dose continuous segmental epidural analgesia [with bupivacaine] given during the 1st stage of labor on the progress of labor, the frequency of fetal malpositions and the rate of vacuum extractions was studied prospectively in 100 parturients (epidural group). The results were compared with 100 parturients given none or conventional analgesia (control group). In the primiparous epidural group the progress of labor before analgesia was induced was significantly slower than in the control group. After the block, however, the subsequent course of the labor was of equal duration in both groups. The durations of the 2nd stages of labor did not differ significantly between the groups. The differences in fetal malpositions at delivery were statistically insignificant, nor did the rate of vacuum extractions, 8% in the primiparous and 0% in the multiparous epidural group, differ statistically from the corresponding rate in the control groups. A normal progress and outcome of labor after low-dose segmental epidural analgesia is signified.

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