Development and Validation of a Nomogram for the Failed Conversion of Labor Analgesia to Cesarean Section Anesthesia

• DOI: 10.2147/jpr.s443338
• Publication Date: 2024-01-08T11:15:08Z
• Authors: Yihan Zheng; Li Zhang; Xizhu Wu; Min Zhou
• Keywords: Nomogram; Prom; Labor pain

Purpose: The conversion of epidural labor analgesia (ELA) to surgical anesthesia (ESA) for intrapartum cesarean section (CS) often encounters failures. This study aimed develop a nomogram predicting the failure rate this conversion. Patients and Methods: A retrospective analysis was conducted on data from Fujian Maternity Child Health Hospital. Pregnant women (n=214) who underwent after receiving analgesia. We performed correlation heat map Lasso regression in terms exclusion confounding factors screening independent variables. developed predict occurrence. Results: incorporated variables such as pregnant history, weight, premature rupture membranes (PROM), dural puncture (DPE), anesthesiologist level (ALOCS), Anesthesiologist (ALOLA). model demonstrated good predictive performance, providing practical tool assessing risk converting anesthesia. Conclusion: can aid anesthesiologists making informed decisions optimizing patient care. By utilizing nomogram, clinicians estimate probability based individual characteristics clinical factors. Keywords: analgesia, anesthesia, failure,