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  • Incidence of long term backache was similar between women receiving epidural analgesia during labour and those who did not

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Therapeutics
Incidence of long term backache was similar between women receiving epidural analgesia during labour and those who did not

https://doi.org/10.1136/ebm.6.5.144

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    (2001) BJOG 108, 27. Howell CJ, Kidd C, Roberts W, et al.. A randomised controlled trial of epidural compared with non-epidural analgesia in labour.. Jan;. :. –33.
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 QUESTION: In women during labour, does epidural analgesia lead to long term backache more than non-epidural analgesia?

    Design

    Randomised (allocation concealed*), unblinded,* controlled trial with 12 months follow up.

    Setting

    Maternity unit of a district general hospital in Staffordshire, UK.

    Patients

    369 women (mean age 24 y) at first pregnancy who were in spontaneous, full term labour, had a normal obstetric and medical history, had no contraindication to either form of analgesia, were willing to participate, and had continued eligibility at time of labour. Follow up was 85% at 3 months and 88% at 12 months.

    Intervention

    Women were allocated to epidural analgesia (n=184) or non-epidural analgesia (n=185). Epidural analgesia consisted of 0.25% bupivacaine (10 ml) with top ups of 5 to …

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    Footnotes

    • Sources of funding: WellBeing and North Staffordshire Medical Institute.

    • For correspondence: Mr R B Johanson, Academic Department of Obstetrics and Gynaecology, North Staffordshire Hospital (NHS) Trust, Newcastle Road, Stoke on Trent, Staffordshire ST4 6QG, UK. Fax +44 (0)1782 552695.

    • ↵* See glossary.