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Scientific paper - Original scientific paper
Vaginal Delivery and Continuous Epidural Analgesia: Should We Change Our Clinical Approach?
Collegium antropologicum, 36 (2012), 2; 499-504. urn:nbn:hr:184:448260
Sindik, Nebojša; Petrović, Oleg; Manestar, Marinka; Frančišković, Vedran; Klarić, Marko; Marić, Marinko

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Sindik, N., Petrović, O., Manestar, M., Frančišković, V., Klarić, M. & Marić, M. (2012). Vaginal Delivery and Continuous Epidural Analgesia: Should We Change Our Clinical Approach?. Collegium antropologicum, 36. (2), 499-504. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:448260

Sindik, Nebojša, et al. "Vaginal Delivery and Continuous Epidural Analgesia: Should We Change Our Clinical Approach?." Collegium antropologicum, vol. 36, no. 2, 2012, pp. 499-504. https://urn.nsk.hr/urn:nbn:hr:184:448260

Sindik, Nebojša, Oleg Petrović, Marinka Manestar, Vedran Frančišković, Marko Klarić and Marinko Marić. "Vaginal Delivery and Continuous Epidural Analgesia: Should We Change Our Clinical Approach?." Collegium antropologicum 36, no. 2 (2012): 499-504. https://urn.nsk.hr/urn:nbn:hr:184:448260

Sindik, N., et al. (2012) 'Vaginal Delivery and Continuous Epidural Analgesia: Should We Change Our Clinical Approach?', Collegium antropologicum, 36(2), pp. 499-504. Available at: https://urn.nsk.hr/urn:nbn:hr:184:448260 (Accessed 20 December 2024)

Sindik N, Petrović O, Manestar M, Frančišković V, Klarić M, Marić M. Vaginal Delivery and Continuous Epidural Analgesia: Should We Change Our Clinical Approach?. Collegium antropologicum [Internet]. 2012 [cited 2024 December 20];36(2):499-504. Available at: https://urn.nsk.hr/urn:nbn:hr:184:448260

N. Sindik, O. Petrović, M. Manestar, V. Frančišković, M. Klarić and M. Marić, "Vaginal Delivery and Continuous Epidural Analgesia: Should We Change Our Clinical Approach?", Collegium antropologicum, vol. 36, no. 2, pp. 499-504, 2012. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:448260. [Accessed: 20 December 2024]

Metadata
Title (english)Vaginal Delivery and Continuous Epidural Analgesia: Should We Change Our Clinical Approach?
AuthorNebojša Sindik
AuthorOleg Petrović
AuthorMarinka Manestar
AuthorVedran Frančišković
AuthorMarko Klarić
AuthorMarinko Marić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Gynaecology and Obstetrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (english)
The aim of the study was to investigate the effects of continuous epidural analgesia (EA) on the course of vaginal delivery with an emphasis on duration of labor and instrumental interventions. In a prospective 2-year trial, the study group included singleton vaginal births between 35 and 41 gestational weeks with a vertex fetus, in which continuous EA with bupivacaine or chirocaine in concentration of 0.125% combined with 2–4 mg of fentanyl or 0.5 mg of sufenta was used. The control group was created randomly from laboring patients with singleton pregnancies but without EA. The groups were adjusted for epidemiological characteristics and compared regarding the obstetric data and perinatal outcome. Student t-test and Mann-Whitney U-test were performed for normally and non-normally distributed results, respectively. Out of 1284 patients, 551 pregnant women were included in the study group and 733 in the control group. The statistically significant differences between the groups related to duration of the first and second stage of labor, frequency of premature rupture of membranes, intrapartal complications, and incidence of operative deliveries were found. Both stages of labor were significantly protracted and the incidence of operative deliveries was higher in the study group of patients compared with controls. There is a need for an active obstetric approach and management of vaginal deliveries of women who receive continuous EA, particularly if it is medically indicated.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium antropologicum
Numberingvol. 36, no. 2, pp. 499-504
p-ISSN0350-6134
URN:NBNurn:nbn:hr:184:448260
Publication2012
Document URLhttps://hrcak.srce.hr/84808
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2020-04-20 19:52:51