Researchers have established that epidural analgesia, at the expense of augmenting small perineal tears marginally, significantly decreases the risk of extreme perineal injury among primiparous women undergoing vaginal delivery. The results assist in demystifying the long-discussed interaction between epidural administration and perineal outcomes of delivery. The study was published in the International Journal of Obstetrics & Gynecology by Omri D. and colleagues.

The research was a tertiary care hospital-based large-scale retrospective cohort analysis from 2012 to 2024. It consisted of 45,132 primiparous women with singleton, term, vertex, and vaginal deliveries. Out of these, 36,799 (81.5%) were given epidural analgesia during labor. Propensity score matching was utilized on a 1:1 bas

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