Abstract
(Int J Obstet Anesth. 2018;34:37–41) Although epidural analgesia (EA) is widely used for pain relief during labor and delivery, there has been controversy over its impact on labor outcomes. The available evidence has not shown an increase in cesarean delivery rates associated with EA. However, some studies have found an association between EA rates and rates of assisted vaginal delivery. The Ten Group Classification System (TGCS) is used to assess all perinatal events and outcomes according to the obstetric characteristics of women in labor, such as singleton or multiple pregnancy; nulliparous, multiparous, or multiparous with a previous cesarean delivery; cephalic, breech presentation or other malpresentation; spontaneous or induced labor; and term or preterm births. This system has been endorsed by the World Health Organization and is used when analyzing various obstetric outcomes. It has not yet been used, though, to analyze the effects of EA on obstetric outcomes. The objective of this study was to use TGCS to evaluate potential associations between EA and cesarean and assisted vaginal delivery rates, according to the TGCS groups.
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