The Effects of Prolonged Ambulation on Labor with Epidural Analgesia

Stéphane Frenea, Christine Chirossel, Raphaël Rodriguez, Jean Philippe Baguet, Claude Racinet, Jean Francois Payen

Research output: Contribution to journalArticlepeer-review

Abstract

Ambulation during labor is becoming more popular, although its impact on the progress of labor and on pain intensity remains unclear. We wondered whether prolonged ambulation with epidural analgesia had a possible effect on duration of labor and pain. In this prospective, randomized trial, 61 parturients with uncomplicated term pregnancies were allocated to be recumbent (n = 31) or to ambulate (n = 30). Epidural analgesia was provided with intermittent administrations of 0.08% bupivacaine-epinephrine plus 1 μg/mL of sufentanil. Of the 30 women assigned to the ambulatory group, 25 actually walked. Their ambulating time was 64 ± 34 min (mean ± SD), i.e., 29% ± 16% of the first stage. There were no differences between the two groups in the length of labor and in pain visual analog scale scores. However, the ambulatory group received smaller doses of bupivacaine (6.4 ± 2.2 mg/h versus 8.4 ± 3.6 mg/h; P = 0.01) and of oxytocin (6.0 ± 3.7 mUI/min versus 10.2 ± 8.8 mUI/min; P < 0.05). A greater ability to void was also found in the ambulatory group (P < 0.01). Although the duration of labor and pain relief was unchanged, these findings support that ambulation during labor may be advantageous.

Original languageEnglish (US)
Pages (from-to)224-229
Number of pages6
JournalAnesthesia and analgesia
Volume98
Issue number1
DOIs
StatePublished - Jan 2004

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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