Obstetric anesthesia

Labor epidural analgesia among Han and Uyghur parturients: a prospective observational study in China

Int J Obstet AnesthPublished Prospective observational study

Authors' conclusion

Our findings suggest that Uyghur women experience labor pain with higher levels of pain and with higher use of epidural analgesics than Han women.

Study context

Population
Women with a vaginal delivery with labor epidural analgesia, tertiary hospital in Xinjiang, China
Exposure
Uyghur vs Han parturients
Outcome
Cervical dilation at labor epidural analgesia request
Follow-up
At epidural request
Methodological detailssingle-centre, tertiary hospital, multivariable linear regression
  • Single-centre
  • Tertiary hospital
  • Multivariable linear regression

Main finding

As reported in the abstract

Cervical dilatation at epidural request

Uyghur vs Han: P = 0.0095 · Uyghur vs Han: P = 0.0392

Observational data: associations, not effects.

Secondary outcomes

OutcomeP value
Pain score at epidural request, multivariable modelHigher pain score in Uyghur · multivariable modelP < 0.0001
Pain score at epidural request (NRS 0-10) — Pain score significantly higher among Uyghur vs Han women; values as printed · significantly higher among Uyghur · mean ± SD
0.8 ± 1.0 vs. 4.2 ± 1.2 · P = 0.0002
Patient-controlled epidural analgesia (PCEA) pump use · During labor — Larger proportion of Uyghur vs Han women used the PCEA pump; values as printed · larger proportion of Uyghur women
77.8% vs. 53.6% · P = 0.0011
Time to pressing PCEA pump · During labor — Uyghur women pressed the pump in a significantly shorter time; values as printed · significantly shorter in Uyghur · mean ± SD
61.3 ± 41.2 vs. 104.0 ± 105.2 min · P = 0.0015
Number of PCEA pump presses · During labor — Uyghur women pressed the pump more times; values as printed · more presses in Uyghur · mean ± SD
1.9 ± 1.7 vs. 1.2 ± 1.4 · P = 0.0022
Sufentanil use · During labor — Significantly more sufentanil use in Uyghur vs Han women; values as printed · significantly more epidural analgesic use in Uyghur · mean ± SD
0.06 ± 0.02 vs. 0.07 ± 0.03 μg/kg/h · P = 0.0150
Ropivacaine use · During labor — Significantly more ropivacaine use in Uyghur vs Han women; values as printed · significantly more epidural analgesic use in Uyghur · mean ± SD
0.11 ± 0.04 vs. 0.14 ± 0.06 mg/kg/h · P = 0.0003

Original publication

Labor epidural analgesia among Han and Uyghur parturients: a prospective observational study in China. Int J Obstet Anesth. Published 5 November 2024. doi:10.1016/j.ijoa.2024.104291

Composed by AI from the published abstract and checked against it. How Briefs are made →

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