This prospective observational study aims to assess the impact of epidural analgesia (ELA) on uterine contractility, cardiotocography (CTG) patterns, and maternal-fetal hemodynamics in term pregnancies. The study will recruit 200 laboring patient receiving ELA and evaluate changes in uterine contractions, Doppler blood flow parameters, and fetal heart rate tracings before and after ELA administration. Secondary analyses will compare outcomes between primiparous and multiparous women, as well as between uncomplicated and complicated pregnancies. Pain relief effectiveness will be correlated with observed changes. This study will provide a comprehensive understanding of ELA's effects on labor progression and fetal well-being, addressing gaps in existing research.
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Changes in uterine contractility
Timeframe: From enrollment to 120 minutes after the administration of epidural analgesia
Changes in maternal and fetal doppler velocities
Timeframe: From enrollment to 24 hours after labor
Changes in cardiotocography (CTG) patterns
Timeframe: From enrollment up to 120 minutes after the administration of epidural