Healthy Clinical Trial
Official title:
Effects of Combined Spinal-epidural Analgesia During Labor on Postpartum Electrophysiological Function of Maternal Pelvic Floor Muscle: a Randomized Controlled Trial
Combined spinal-epidural analgesia (CSEA) is sometimes used for difficult births, but whether it contributes to postpartum pelvic muscle disorder is unclear. This randomized controlled trial examined whether CSEA affects the electrophysiological index of postpartum pelvic floor muscle during labor. The investigators plan to recruit 300 primiparous healthy women.
Labor analgesia can relieve labor pain, reduce stress reactions, and improve blood supply to
the fetus, benefiting mother and baby. Though traditional epidural analgesia has been used
for more than 40 years, combined spinal-epidural analgesia (CSEA) has become popular because
it provides faster-onset pain relief with minimal motor weakness. CSEA may also accelerate
cervical dilation.
Despite the popularity of CSEA, whether it is associated with short- or long-term beneficial
or adverse effects on mothers remains unclear. One question is whether the procedure affects
the risk of female pelvic floor disorder (PFD), in which the pelvic floor muscles are
injured. These muscles are responsible for supporting the pelvic organs and for stabilizing
them during the rhythmic, strong labor contractions and for the diaphragm to contract enough
to generate pressures of up to 19 kPa. Numerous risk factors have been associated with PFD,
including obesity, diabetes, older age, connective tissue disorder, neurological disease,
pregnancy, vaginal delivery and childbirth. PFD can lead in turn to stress urinary
incontinence, overactive bladder, pelvic organ prolapse and fecal incontinence, all of which
can strongly reduce women's physical and psychological health.
Pelvic floor function can be analyzed by measuring the strength and degree of fatigue of
pelvic floor muscles, as well as the pelvic dynamic pressure. Abnormalities in these
indicators appear even before patients complain of the signs and symptoms of PFD, making
them a useful early diagnostic index.
In this randomized controlled study, we examined whether CSEA affects postpartum pelvic
floor muscle function in primiparous mothers who give birth vaginally, as well as the
duration of different stages of labor. Our results should help establish whether the
widespread use of CSEA provides benefits to mothers or poses a risk.
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Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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