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Objective: Neuroaxial analgesia is the most effective technique to treat labor pain, however, there are still concerns regarding the undesirable effects. Objective: To evaluate the association between epidural analgesia maintained by programmed intermittent epidural boluses (PEIB) and maternal perinatal complications.  Materials and methods: Observational, analytical study of Cohort type in pregnant women between 18 and 35 years, in labor with cervical dilation of 4 centimeters or more, grouped in two cohorts according to administration or not of epidural analgesia: In pregnant women of Group A, administered bolus epidural analgesia, with maintenance by BEIP with bupivacaine 0.0625% and fentanyl 25 ug in 10cc every 60 minutes; in pregnant women of group B, epidural analgesia was not administered. Results: The duration of the dilation and expulsion period was longer in the group that received epidural analgesia of (532.91 ± 254 minutes) and (429.19 ± 311 minutes) in which they did not receive; the time of the expulsion period was (16.97 ± 16 minutes) and (11.76 ± 10 minutes) in group B, (p <0.05); lower incidence of first degree perineal tears in the group that received analgesia (16.12% VS 25.35%; p = 0.014). No differences were found in the route of completion of labor, APGAR score, need for neonatal resuscitation and admission to Neonatal intensive care unit (NICU). Conclusions: Pregnant women who received epidural analgesia through BEIP had a longer duration of the period of dilation and expulsion, less incidence of perineal tears, without increasing neonatal morbidity.

Bolos epidurales intermitentes programados para mantenimiento de la analgesia del trabajo de parto: Estudio observacional, analítico de tipo cohorte