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This study seeks to identify the most effective neuraxial technique for labor analgesia in Class III parturient
This retrospective cohort study collected data on eligible participants from the electronic medical records.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Class III obese parturient | Class III obese parturient receiving neuraxial analgesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neuraxial analgesia | Procedure | Combined spinal-epidural analgesia |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Success rate of labor analgesia | The success rate of each technique will be determined by: Number of patients requiring a physician top-up bolus Block symmetry First-attempt success rate | onset of neuraxial analgesia to completion of labor |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal adverse events | Incidence of maternal hypotension, maternal bradycardia, high block (above T1), higher than T4 block, need of vasopressors, mortality, post-Dural puncture headache | onset of neuraxial analgesia to completion of labor |
| Fetal adverse events |
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Inclusion Criteria:
Exclusion Criteria:
Female
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Class III obese parturient receiving neuraxial analgesia (CSE, epidural or DPE) in labor rooms of Women's Wellness and Research Center between 1 January 2015 to 1 December 2024.
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| Name | Affiliation | Role |
|---|---|---|
| Ayten Saracoglu | University of Florida, UF Health, Jacksonville, FL 32209, USA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Women's Wellness and Research Center | Doha | Qatar |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| Neuraxial Analgesia |
| Procedure |
Epidural analgesia |
|
| Neuraxial Analgesia | Procedure | Dural puncture epidural analgesia |
|
APGAR SCORE |
| at 1 and 5 minutes after birth |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |