Background: Epidural analgesia (EA) in patients at trial of labour
after caesarean section (TOLAC) remains a matter of controversy due to fear of
masking symptoms suggestive of uterine rupture. The aim of this study was to
evaluate if EA during TOLAC increases the risk of maternal and foetal
complications. Methods: This study utilized a database containing
details of deliveries collected prospectively by a Swiss obstetric study group
over a 12-year period. The cohort was dichotomised between women with and without
EA during delivery. Contingency tests and Spearman rank correlation were used for
statistical analyses. A p
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Original Research
Epidural analgesia at trial of labour after caesarean section. A retrospective cohort study over 12 years
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1
Department of Obstetrics and Gynaecology, Hospital of Langenthal, 4900 Langenthal, Switzerland
2
Department of Obstetrics and Gynaecology, University Hospital of Bern, 3010 Bern, Switzerland
3
Sevisa AG, 8280 Ermatingen, Switzerland
*Correspondence: d.bolla@sro.ch (Daniele Bolla)
Clin. Exp. Obstet. Gynecol. 2021, 48(4), 913–917;
https://doi.org/10.31083/j.ceog4804144
Submitted: 5 April 2021 | Revised: 2 May 2021 | Accepted: 27 May 2021 | Published: 15 August 2021
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
Caesarean section
Uterine rupture
Vaginal delivery
Epidural analgesia
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