Labor Neuraxial Analgesia and Its Association With Perinatal Outcomes in China in 2015–2016: A Propensity Score–Matched Analysis
Authors' conclusion
The use of NA may be associated with improved obstetric outcomes, including fewer intrapartum CD, less birth canal trauma, and better neonatal outcomes in China.
Study context
- Population
- Vaginal deliveries or intrapartum caesarean delivery (CD) (excluding prelabor CDs), China Labor and Delivery Survey (CLDS), 2015–2016
- Participants
- 51,488 deliveries
- Exposure
- Labor neuraxial analgesia (NA) vs no NA
- Outcome
- Weighted NA rate; association of NA with intrapartum CD and maternal and neonatal outcomes
Methodological detailsmulticentre, facility-based, cluster random sampling, weighted, propensity-score matched
- Multicentre
- Facility-based
- Cluster random sampling
- Weighted
- Propensity-score matched
Main finding
As reported in the abstract
Weighted NA rate
NA
17.3%
CI 95% 16.6–18.0
Observational data: associations, not effects.
Further findings
| Outcome | aOR (95% CI) | |
|---|---|---|
| Intrapartum CDPropensity score-matched analysis | 0.68 (0.60–0.78) | |
| Intrapartum CD by maternal requestPropensity score-matched analysis | 0.48 (0.30–0.76) | |
| 5-minute Apgar score ≤3Propensity score-matched analysis | 0.15 (0.03–0.66) | |
| 0.050.21520Adjusted odds ratio (log scale) |
Safety
| Outcome | aOR (95% CI) | |
|---|---|---|
| 3rd or 4th degree perineal lacerationPropensity score-matched analysis | 0.36 (0.15–0.89) | |
| 0.10.31310Adjusted odds ratio (log scale) |
Original publication
Labor Neuraxial Analgesia and Its Association With Perinatal Outcomes in China in 2015–2016: A Propensity Score–Matched Analysis. Anesth Analg. Published 7 March 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →