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https://www.nejm.org/doi/full/10.1056/NEJMct0909254
A 30-year-old pregnant woman is undergoing induction of labor and is experiencing severe pain despite intravenous opioid administration. Epidural analgesia is recommended. Epidural analgesia involv...Author: Joy L. Hawkins
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253227/
Oct 20, 2014 · In developing countries like India national average acceptance of epidural analgesia for labour pain relief is almost negligible though sporadically few centre have a comprehensive labour analgesia program . Epidural analgesia effectively relieves pain during labour and delivery [7,8]. However, controversy exists as to the effect of epidurals ...Author: Dipti Agrawal, Bela Makhija, Manjeet Arora, Arpana Haritwal, Pavan Gurha
https://americanpregnancy.org/labor-and-birth/epidural/
Oct 13, 2019 · Using Epidural Anesthesia During Labor: Benefits and Risks. Epidural anesthesia is the most popular method of pain relief during labor. Women request an epidural by name more than any other method of pain relief. More than 50% of women giving birth at hospitals use epidural anesthesia.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681359/
Jul 09, 2019 · Epidural analgesia is an effective and widely used treatment for labor pain. Even though the frequency of the use of epidural analgesia varies around the world, an increasingly growing trend is observed in this segment of obstetrics. In Canada, the epidural …Author: Anastasija Malevic, Dalius Jatuzis, Virginija Paliulyte
https://academic.oup.com/bjaed/article/4/4/114/308005
Aug 01, 2004 · Effect of epidural analgesia on labour and outcome. Though women who receive epidural analgesia during labour are more likely to require instrumental or caesarean delivery, there is little evidence to suggest that the epidural itself is to blame. There is an association between epidural analgesia and labour outcome, but this is probably not ...Author: Elizabeth McGrady, Kerry Litchfield
https://www.cochrane.org/CD000331/PREG_epidurals-pain-relief-labour
May 21, 2018 · Epidural analgesia is a central nerve block technique achieved by injection of a local anaesthetic close to the nerves that transmit pain, and is widely used as a form of pain relief in labour. However, there are concerns about unintended adverse effects on the mother and infant. This is an update of an existing Cochrane Review (Epidural versus non-epidural or no analgesia in labour), last ...
https://www.wfsahq.org/components/com_virtual_library/media/42dcd7a33ead5c31b18785f45c34cf63-365-Labour-epidural-basics.pdf
labour epidural.14 CSE is a slightly more complicated technique and there is a theoretical risk of having an untested epidural catheter for labour analgesia and surgery if close to the time of CSE placement. The 3rd National Audit Project2 in the UK showed there was an increased overall risk with the use of CSEs compared to epidurals.
https://onlinelibrary.wiley.com/doi/full/10.1111/ppe.12139
Jul 18, 2014 · The association with epidural analgesia in labour was higher for caesarean delivery for failure to progress {RR 3.0, [95% CI 2.9, 3.0]} than for caesarean delivery for fetal distress {RR 1.9, [95% CI 1.8, 2.0]}. Conclusions. Epidural analgesia in labour is associated with caesarean delivery in a large maternity population.Author: Melanie Bannister-Tyrrell, Jane B. Ford, Jonathan M. Morris, Christine L. Roberts
https://journals.lww.com/anesthesia-analgesia/Fulltext/1998/07000/Epidural_Labor_Analgesia_and_the_Incidence_of.26.aspx
reviewed the operative records of all patients undergoing cesarean section who delivered 12 mo before and 16 mo after the start of the labor epidural service. We compared labor epidural rates and total and nulliparous dystocia cesarean delivery rates before and after the epidural service started and among patients who did and did not receive labor epidural analgesia when it was available ...
https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2044.2008.05756.x
The efficacy of epidural analgesia in childbirth comes at the cost of unwanted side effects. These include an increased rate of instrumental vaginal delivery, prolonged labour (notably second stage) and increased requirement for augmentation with oxytocin [].These effects may result from dense motor and sensory blockade which can accompany effective epidural pain relief.Author: Matthew Wilson, Christine MacArthur, Griselda Cooper, A Shennan
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