Risk factors and predictive model for intrapartum cesarean delivery in women with epidural analgesia: a retrospective cohort study.

ABSTRACT:

Background

Labor epidural analgesia (LEA) is the gold standard for labor pain management, yet its association with intrapartum cesarean delivery (CD) remains controversial. This study aimed to identify risk factors and develop a predictive model for CD conversion in parturients receiving LEA.

Methods

A retrospective cohort study analyzed 1,896 parturients receiving LEA at Zhengzhou Central Hospital (2022-2023). Participants were categorized into vaginal delivery group (n = 1, 541) and cesarean delivery group (n = 355). The original dataset was randomly split into training/testing sets (7:3 ratio) for analytical purposes. Univariate analysis identified significant variables, followed by Least Absolute Shrinkage and Selection Operator (LASSO) regression and multi

SUBMITTER: Feng Y 

PROVIDER: S-EPMC12640134 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature