OUTCOME OF PREGNANCY WITH EPIDURAL ANALGESIA DURING TRIAL OF LABOR AFTER CESAREAN SECTION AT TU DU HOSPITAL
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Abstract
Background: Epidural analgesia was seldomly administered for Trial of Labor after Cesarean (TOLAC) due to concerns it may mask symptoms of uterine rupture, thus causing delay in diagnosis and treatment which puts the life of pregnant women and their babies at risk. However, recent studies have demonstrated the safety and efficiency of epidural analgesia during trial of labor after cesarean. Objectives: This study aimed to evaluate the effect of epidural analgesia during trial of labor after cesarean on outcomes of labor, parturient complications and neonatal outcomes at Tu Du hospital. Materials and methods: Report a case series of pregnant women who consented to trial of labor after cesarean with epidural analgesia at Tu Du hospital between 04/2020 and 06/2021. Results: In our study, a total of 58 women who consented to trial of labor after cesarean with epidural analgesia were registered. The success rate of vaginal birth after cesarean section was 48.3%, the incidence of uterine scar dehiscence was 1.7% and the rate of postpartum hemorrhage was 8.6%. Regarding neonatal outcomes, 1-minute Apgar score ≥7 was 84.5% and 5minute Apgar score ≥7 was 98.3%. There was no maternal or neonatal mortality. Conclusion: Epidural analgesia could reduce labor pain and no increased risk of postpartum hemorrhage, uterine rupture or adverse effects on newborns were observed.
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Keywords
Epidural analgesia, trial of labor after cesarean
References
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