<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Objective</h3>
<p>In the last few years there is a trend of transiting from the continuous epidural infusion (CEI) method for epidural analgesia to a new method – programmed intermittent epidural analgesia (PIEB). This change improves the quality of epidural analgesia, thanks to an increased spread of the anaesthetic in the epidural space and higher maternal satisfaction. Nevertheless, we must make sure that such change of method does not lead to worse obstetric and neonatal outcomes.</p>
</sec>
<sec><h3>Materials and Methods</h3>
<p>This is a retrospective observational case control study. We compared several obstetrical outcomes between the CEI and PIEB groups, such as the rates of instrumental delivery, rates of caesarean section, duration of first and second stages of labour well as APGAR scores. We further segmented the subjects and examined them in groups of nulliparous and multiparous parturients.</p>
</sec>
<sec><h3>Results</h3>
<p>2696 parturients were included in this study: 1387 (51.4%) parturients in the CEI group and 1309 (48.6%) parturients in the PIEB group. No significant difference was found in instrumental or caesarean section delivery rates between groups. This result held even when the groups were differentiated between nulliparous and multiparous. No differences were revealed regarding first and second stage duration or APGAR scores.</p>
</sec>
<sec><h3>Conclusion</h3>
<p>Our study demonstrates transition from the CEI to the PIEB method does not lead to any statistically significant effects on either obstetric or neonatal outcomes.</p>
</sec>
</abstract>

Objective
In the last few years there is a trend of transiting from the continuous epidural infusion (CEI) method for epidural analgesia to a new method – programmed intermittent epidural analgesia (PIEB). This change improves the quality of epidural analgesia, thanks to an increased spread of the anaesthetic in the epidural space and higher maternal satisfaction. Nevertheless, we must make sure that such change of method does not lead to worse obstetric and neonatal outcomes.

Materials and Methods
This is a retrospective observational case control study. We compared several obstetrical outcomes between the CEI and PIEB groups, such as the rates of instrumental delivery, rates of caesarean section, duration of first and second stages of labour well as APGAR scores. We further segmented the subjects and examined them in groups of nulliparous and multiparous parturients.

Results
2696 parturients were included in this study: 1387 (51.4%) parturients in the CEI group and 1309 (48.6%) parturients in the PIEB group. No significant difference was found in instrumental or caesarean section delivery rates between groups. This result held even when the groups were differentiated between nulliparous and multiparous. No differences were revealed regarding first and second stage duration or APGAR scores.

Conclusion
Our study demonstrates transition from the CEI to the PIEB method does not lead to any statistically significant effects on either obstetric or neonatal outcomes.

Epidural Analgesia for Labour: Comparing the Effects of Continuous Epidural Infusion (CEI) and Programmed Intermittent Epidural Bolus (PIEB) on Obstetric Outcomes

the Hebrew University Hadassah Medical School

Department of Anesthesiology, Soroka University Medical Center and the Faculty of Health Sciences

Department of Obstetric Anesthesia, Shaare Zedek Medical Center

affiliated with the Hebrew University Hadassah School of Medicine

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center

Romanian Journal of Anaesthesia and Intensive Care

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Objective
In the last few years there is a trend of transiting from the continuous epidural infusion (CEI) method for epidural analgesia to a new method –...

Epidural Analgesia for Labour: Comparing the Effects of Continuous Epidural Infusion (CEI) and Programmed Intermittent Epidural Bolus (PIEB) on Obstetric Outcomes

Article Category: Original Article

Publicado en línea: 25 sept 2022

Páginas: 29 - 35

DOI: https://doi.org/10.2478/rjaic-2021-0005

Palabras clave
Epidural anaesthesia, labour analgesia, continuous epidural infusion, programmed intermittent epidural bolus analgesia

© 2021 Tal Avraham et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Epidural Analgesia for Labour: Comparing the Effects of Continuous Epidural Infusion (CEI) and Programmed Intermittent Epidural Bolus (PIEB) on Obstetric Outcomes

Article Category: Original Article

Publicado en línea: 25 sept 2022

Páginas: 29 - 35

DOI: https://doi.org/10.2478/rjaic-2021-0005

Palabras claveEpidural anaesthesia, labour analgesia, continuous epidural infusion, programmed intermittent epidural bolus analgesia

© 2021 Tal Avraham et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Palabras clave
Epidural anaesthesia, labour analgesia, continuous epidural infusion, programmed intermittent epidural bolus analgesia