RT Journal Article
T1 Epidural Analgesia and Neonatal Morbidity: A Retrospective Cohort Study
A1 Hernández Martínez, Antonio
A1 Rodríguez Almagro, Julián Javier
A1 Moreno-Cid García-Suelto, María
A1 Ureña Barrajon, María
A1 Molina Alarcón, Milagros
A1 Gómez Salgado, Juan
AB Background: Epidural analgesia (EA), at the present time, is one of the most effectivemethods to reduce labor pain. In recent years its use has increased, being used between 20–70% of alldeliveries; (2) Methods: Historical cohort on a total of 2947 deliveries during the years 2012–2016 at the“Mancha-Centro Hospital” of Alcázar de San Juan. The main outcome variables were four neonatalmorbidity (NM) criteria: umbilical artery pH of <7.10, Apgar score at 5 min < 7, need for advancedresuscitation and composite morbidity. We used the multivariate analysis to control confoundingbias. (3) Results: No statistical relationship between EA and the second stage of labor duration withnone of the four criteria of NM used (p > 0.005). However, the type of delivery was associated withthree criteria (pH, resuscitation, and composite morbidity). The instrumental delivery presented anOR of pH < 7.10 of 2.68 95% CI [1.15, 6.27], an OR of advanced resuscitation of 2.44 95% CI [1.17, 5.08]and OR of composite morbidity of 2.86 95% CI [1.59, 5.12]; (4) Conclusions: The EA and the secondstage of labor duration are not related to the NM. While the instrumental delivery doubles the risk ofNM compared to the normal vaginal delivery.
PB MDPI
SN 1661-7827
YR 2018
FD 2018-09
LK http://hdl.handle.net/10272/16172
UL http://hdl.handle.net/10272/16172
LA eng
NO Hernández Martínez, A., Rodríguez Almagro, J., García-Suelto, M., Ureña Barrajon, M., Molina Alarcón, M.,  Gómez Salgado, J. Epidural Analgesia and Neonatal Morbidity: A Retrospective Cohort Study. International Journal of Environmental Research and Public Health, 15(10), 2092.  (2018). DOI: https://doi.org/10.3390/ijerph15102092
DS Repositorio Institucional de la Universidad de Huelva
RD 30 may 2026