[Oxytocic use and duration of labor under peridural ambulatory analgesia].
OBJECTIVE
Extradural analgesia is associated with an increase duration of labor and oxytocin use.


METHODS
We conducted a study of walking during active labor under extradural analgesia among 41 women. This group, with uncomplicated pregnancies, was similar to associate with a usual-care group according to the following criteria: maternal age, parity, gestational age, Bishop's score at the admission, and labor entrance mode. Analgesia was performed by using combined spinal-epidural analgesia and patient controlled extradural analgesia. Fetal heart and uterine contractions were continuously monitored using Telemetry. Anesthetic and obstetrical parameters were noted every hour. The main criteria were length of labor and oxytocin consumption. Statistical analysis was performed using Student's t-test and Fischer's exact test.


RESULTS
Duration of the 1st and 2nd stage of labor, and oxytocin consumption were not statistically different in the two groups, neither was mode of delivery. No neonates had an Apgar score less than 5 at one minute. Parturients walked about 2 h 30 for about 2,000 m.


CONCLUSIONS
Obstetrical parameters and oxytocin consumption are not modified during walking extradural analgesia. No maternal or neonatal adverse effects were noted in our study.
Tibi
N
N
Département d'Anesthésie-Réanimation, CH François-Quesnay, 2, boulevard Sully, 78200 Mantesla-Jolie. n.tibi@ch.mantes.la.jolie.rss.fr
Bizimungu
J
J
Berardi
J C
JC
D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D010120:Oxytocics / Q000008:administration & dosage*; D011247:Pregnancy; D013997:Time Factors; D016138:Walking
D010120:Oxytocics
Consommation d'ocytociques et durée du travail sous analgésie péridurale ambulatoire.