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https://www.aafp.org/afp/2018/1101/od2.html
Nov 01, 2019 · There is no difference in the risk of cesarean delivery in women who receive epidural analgesia before 4 to 5 cm cervical dilation compared with later dilation. (Strength of Recommendation: A, based on a meta-analysis of randomized controlled trials [RCTs].)Author: Katherine L. Rendon, Vernon Wheeler
https://journals.lww.com/anesthesia-analgesia/Fulltext/2018/06000/Anesthesia_for_Cesarean_Delivery__A.40.aspx
Spinal anesthesia was the most commonly used method for cesarean delivery (81%) in the 3 months before interview, with 19% general anesthesia of which 4% was ketamine without airway intubation. The mean institutional cesarean delivery rate was 13.6% of …
https://journals.lww.com/anesthesia-analgesia/Fulltext/1998/07000/Epidural_Labor_Analgesia_and_the_Incidence_of.26.aspx
The monthly total cesarean delivery rate remained stable, whereas the monthly epidural analgesia use varied from 0% to 49.5% . There were no significant differences in the total (9.1% vs 9.7%), dystocia (3.0% vs 3.1%), and nulliparous dystocia (5.7% vs 6.4%) cesarean delivery rates for the Before group versus the After group patients.
https://www.scholars.northwestern.edu/en/publications/the-risk-of-cesarean-delivery-with-neuraxial-analgesia-given-earl
The primary outcome was the rate of cesarean delivery. RESULTS: The rate of cesarean delivery was not significantly different between the groups (17.8 percent after intrathecal analgesia vs. 20.7 percent after systemic analgesia; 95 percent confidence interval for the difference, …Author: Cynthia A. Wong, Barbara M. Scavone, Alan M. Peaceman, Robert J. McCarthy, John T. Sullivan, Nathani...
https://www.researchgate.net/publication/256817626_ACOG_committee_opinion_269_Analgesia_and_cesarean_delivery_rates
Overall, the cesarean rate among women receiving epidural analgesia was 17% (168 of 991), compared with 4% (30 of 742) among those who did not receive epidural analgesia.
https://www.sciencedirect.com/science/article/pii/S0959289X17302716
Cesarean delivery rates were lower in women receiving EA in all but three TGCS groups, despite higher neonatal birthweights in EA groups. Epidural analgesia was associated with a higher cesarean delivery rate in nulliparous women at term with a cephalic fetus and presenting in spontaneous labor (group 1).Author: M. Lucovnik, I. Blajic, I. Verdenik, T. Mirkovic, T. Stopar Pintaric
https://www.nejm.org/doi/full/10.1056/NEJMoa042573
The rate of cesarean delivery was not significantly different between the groups (difference in the rate after intrathecal analgesia as compared with systemic analgesia, –2.9 percentage points; 95 percent confidence interval, –9.0 to 3.0; P=0.31) (Table 2).Author: Cynthia A. Wong, Barbara M. Scavone, Alan M. Peaceman, Robert J. McCarthy, John T. Sullivan, Nathani...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1481670/
Apr 10, 2006 · Epidural analgesia (EA) is clearly the most effective form of pain relief during labour. 1 But various unwanted side effects are associated with its use, 2 including longer labour; increased incidence of maternal fever (with associated increase in use of antibiotics for mothers and newborns); and increased rates of operative vaginal delivery and perineal trauma, 2 such as more third- and ...Author: Michael C. Klein
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2019/02/Approaches%20to%20Limit%20Intervention%20During%20Labor%20and%20Birth
In one U.S. academic medical center, the family-centered cesarean birth was introduced in 2013 and the efforts studied. Skin-to-skin care in the operating room increased from 13% to 39% of cases, with exclusive breastfeeding rates among neonates born by cesarean similarly increasing from 35% to 64%.
https://soap.org/members/soap-expert-opinions/management-of-a-failed-labor-epidural/
Also consider increasing the infusion rate by 1-2ml/hr to maintain an adequate steady state. For a cesarean delivery, consider performing a spinal, CSE or general anesthesia based on the emergent nature of the delivery. Inadequate Second Stage Labor Analgesia:The patient normally reports rectal or pelvic pressure. Place the patient in a semi-reclining position while dosing with a higher concentrated local anesthetic (3-5 ml …
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