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Updated: Jun 4, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
Published on: January 27, 2010
Comparison of intermittent and continuous epidural analgesia on delivery and progression of labour
S Skrablin1, O Grgic, S Mihaljevic
1Department of Obstetrics and Gynecology, School of Medicine, School of Medicine, University of Zagreb, Croatia.
Abstract:
In this study, 205 nulliparous parturients were enrolled to receive either intermittent (n = 101) or continuous (n = 104) type of epidural analgesia in labour. The primary outcome was rate of caesarean deliveries, whereas secondary outcomes included rate of fundal pressure manoeuvres, duration of labour from application of analgesia, dose of anaesthetic and short-term maternal and neonatal outcome between two groups. Rate of caesarean deliveries was significantly increased in the continuous group (15/104 vs 5/101, p = 0.02), as well as rate of fundal pressure manoeuvres (24/104 vs 11/101, p = 0.02) and dose of fentanyl (100 [100-300] vs 187.5 [125-450] μg, p < 0.001 and levobupivacaine (40 [40-60] vs 75 [50-90] ml, p < 0.001). Duration of labour from analgesia to delivery was not significantly different between the two groups (414 ± 101 vs 432 ± 94 min, p = 0.12).
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