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Information about CSEA, mode of delivery, labor duration, oxytocin augmentation, and neonatal outcome was obtained. Logistic regression was used to examine independent associations between CSEA and emergency cesarean after controlling for confounding variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 3456 women included, 1786 (51.7%) received CSEA and 1670 (48.3%) received no labor analgesia. Emergency cesarean was more frequent among CSEA users (219\/1786 [12.3%]) than non\u2010users (119\/1670 [7.1%]; <jats:italic>P<\/jats:italic> &lt; 0.001). Among the maternal\u2013fetal variables included in multivariate regression, maternal age, maternal height, cervical dilatation at admission, birth weight, and CSEA use were significantly associated with emergency cesarean. After adjustment, women with CSEA maintained a slightly increased risk for cesarean (adjusted odds ratio 1.54, 95% confidence interval 1.20\u20132.00).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among Chinese nulliparous women, use of CSEA for labor pain was associated with an increased risk of emergency cesarean delivery; moreover, this effect was maintained after adjustment for other potential obstetric risk factors.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2016.05.017","type":"journal-article","created":{"date-parts":[[2016,8,30]],"date-time":"2016-08-30T00:43:29Z","timestamp":1472517809000},"page":"259-263","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Effect of combined spinal\u2013epidural analgesia in labor on frequency of emergency cesarean delivery among nulliparous Chinese women"],"prefix":"10.1002","volume":"135","author":[{"given":"Fen","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun\u2010xia","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan\u2010gao","family":"Ke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao\u2010hua","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,8,24]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12966"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199406000-00029"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042573"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181b55e65"},{"issue":"6","key":"e_1_2_6_6_2","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1097\/00006250-200606000-00060","article-title":"ACOG committee opinion. 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