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Relation between epidural analgesia and perinatal outcomes on Robson class 2a
Serena Lecis1, Giulia Bonfiglioli1, Francesco Cannistrà1
1Obstetrics and Gynecology Unit, Mother-Infant and Adult Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Largo del Pozzo 71, 41124 Modena, Italy (Lecis, Bonfiglioli, Cannistrà, Verra, Lisotti, Ramovecchi, Saddò, Chiossi, Lazzarin, Neri, La Marca, and Monari).
AJOG Global Reports
|February 12, 2026
Summary
Epidural analgesia did not affect delivery mode or neonatal outcomes in Robson class 2a patients. However, it was associated with longer labor induction and second stages, alongside other factors like BMI and fetal weight.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Neonatal Outcomes
Background:
- Epidural analgesia is standard for labor pain management.
- Its impact on delivery mode and neonatal outcomes requires further investigation.
- Labor induction rates are increasing globally.
Purpose of the Study:
- To assess epidural analgesia's effect on delivery mode and perinatal outcomes in Robson class 2a individuals.
- To analyze associations between epidural analgesia and labor duration, Apgar scores, and NICU admissions.
Main Methods:
- Retrospective cohort study of Robson class 2a deliveries from January 2022 to December 2023.
- Primary outcome: delivery mode (cesarean, vaginal, operative vaginal).
- Secondary outcomes: labor duration, second stage duration, Apgar score, NICU admission.
Main Results:
- No significant differences in cesarean, vaginal, or operative vaginal delivery rates between groups.
- Neonatal outcomes (Apgar scores, NICU admissions) were similar.
- Epidural analgesia correlated with longer labor induction and second stage durations.
Conclusions:
- Epidural analgesia did not influence delivery mode or perinatal outcomes in Robson class 2a patients.
- It was a contributing factor to increased labor induction and second stage durations.
- Other factors like BMI, gestational age, and fetal weight also impacted labor duration.
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