Obstetric anesthesia

Labour analgesia by single shot spinal for any parturient?—A retrospective one‐year single centre audit

Acta Anaesthesiol ScandPublished Retrospective cohort study

Authors' conclusion

SSS appears to provide adequate labour analgesia for the majority of parturients in whom it is used, including nulliparous and early-stage multiparous parturients.

Study context

Population
Parturients receiving single shot spinal (SSS) labour analgesia in a single centre over 12 months447 multiparous
Participants
88 / 131 / 316
Exposure
SSS labour analgesia in primiparous or early-stage multiparous vs advanced-labour multiparous parturients
  • Primiparousn = 88
  • Early-stage multiparousn = 131
  • Advanced multiparousn = 316reference
Outcome
Failure of SSS analgesia: insufficient duration of analgesia (recorded recurrent pain or subsequent analgesic intervention)
Methodological detailssingle-centre, audit, 12-month period
  • Single-centre
  • Audit
  • 12-month period

Main finding

As reported in the abstract

Insufficient duration of analgesia
Each group vs advanced multiparousOdds ratio (CI)P value
Primiparous
1.94(1.08–3.48)
P < 0.01
Early-stage multiparous
2.08(1.25–3.46)
P < 0.01

Observational data: associations, not effects.

Further findings

OutcomeTimes more likely (CI)P value
New peripheral and/or neuraxial analgesic interventions during deliveryPrimiparous vs Advanced multiparous2.20 (1.15–4.20)P < 0.01
New peripheral and/or neuraxial analgesic interventions during deliveryEarly-stage multiparous vs Advanced multiparous2.61 (1.50–4.55)P < 0.01

Original publication

Labour analgesia by single shot spinal for any parturient?—A retrospective one‐year single centre audit. Acta Anaesthesiol Scand. Published 22 May 2023. doi:10.1111/aas.14282

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.