Accidental dura puncture during labor epidural analgesia and intrathecal catheter: A perfect camaraderie

Evaluating the Effect of Labor Analgesia on Recovery of Parturients After Vaginal Delivery Using the Obstetric Quality Of Recovery-10 (ObsQoR-10) Scores: Prospective Single Center Observational Study.

It is aimed to evaluate and compare the recovery of parturients giving birth with and without labor analgesia using the ObsQoR-10 score.

The women admitted for vaginal birth were allocated into two groups. 20 women who requested labor analgesia were included in Group I while 20 others who didn’t want to have labor analgesia formed Group II. They were asked to fill out ObsQoR-10 and EuroQol 5-dimension 3L at hours 24,48 an 72 postoperatively. Primary outcome was ObsQoR-10 scores at 24. hours postpartum. Secondary outcomes were was ObsQoR-10 scores at 48. and 72. hours postpartum as well as pyschiametric evaluation of ObsQoR-10. (NCT06325475)

Data were analysed using validity hypothesis test and structural validity test. In hypothesis test, there was no significant difference between groups in terms of ObsQoR-10 scores. The ObsQoR-10 scores at 48. And 72. hours postpartum were also similar. There was a correlation between ObsQoR-10 scores at 24. hour and postpatum haemoglobin levels. At 48 and 72 hours, ObsQoR-10 scores were correlated with age. In structural validity, a correlation between ObsQoR-10 scores at 24, 48, 72 hours and EuroQol 5-dimension 3L scores. The ObsQoR-10 is found to have good internal consistency. The highest ranked Obstetric Quality of Recovery-10 items were, nausea or vomiting, dizziness and shivering. The lowest ranked item was pain.

Although epidural analgesia is an invasive procedure, study shows that there is no significant difference between groups in terms of postpartum ObsQoR-10 scores, and that this scoring is a valid and reliable evaluation tool.