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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.uv.es/jjsanton/Parto/10epiduralparto.pdf
Epidural analgesia for labor and delivery in-volves the injection of a local anesthetic agent (e.g., lidocaine or bupivacaine) and an opioid analgesic agent (e.g., morphine or fentanyl) into the lumbar epidural space (Fig. 2). 8 The injected agent gradu - ally diffuses across the dura into the subarachnoid
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://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253227/
Oct 20, 2014 · The Effect of Epidural Analgesia on Labour, Mode of Delivery and Neonatal Outcome in Nullipara of India, 2011-2014. Dipti Agrawal, 1 Bela Makhija, 2 Manjeet Arora, 3 Arpana Haritwal, 4 and Pavan Gurha 5 ... Effect of epidural analgesia on mode of delivery.Author: Dipti Agrawal, Bela Makhija, Manjeet Arora, Arpana Haritwal, Pavan Gurha
https://journals.lww.com/anesthesia-analgesia/Fulltext/1998/07000/Epidural_Labor_Analgesia_and_the_Incidence_of.26.aspx
Obstetricians and obstetric anesthesiologists face a dilemma: epidural analgesia is the most effective form of labor pain relief and, for humanitarian reasons, should be available on patient request. Yet epidural labor analgesia and cesarean delivery for dystocia are strongly associated.
https://www.apsf.org/article/pro-and-con-using-a-labor-epidural-for-cesarean-delivery-con-pull-the-epidural-catheter-and-perform-a-spinal/
Campbell DC, Tran T. Conversion of epidural labour analgesia to epidural anesthesia for intrapartum Cesarean delivery. Can J Anaesth. 2009;56:19–26. Halpern SH, Soliman A, Yee J, Angle P, Ioscovich A. Conversion of epidural labour analgesia to anaesthesia for Caesarean section: a prospective study of the incidence and determinants of failure.
https://academic.oup.com/bjaed/article/4/4/114/308005
Aug 01, 2004 · The type of epidural analgesia might influence spontaneous vaginal delivery rates (see COMET study). Effect on duration of labour and labour augmentation. In the same meta-analysis of RCTs of epidural vs non-epidural analgesia, epidural analgesia was found to prolong labour, though only modestly. The first and second stages of labour were ...Author: Elizabeth McGrady, Kerry Litchfield
https://www.uptodate.com/contents/neuraxial-analgesia-for-labor-and-delivery-including-instrumented-delivery#!
INTRODUCTION. Neuraxial analgesia is the most effective and most commonly used therapy for pain relief during labor and delivery. Epidural, combined spinal-epidural (CSE), and other central neuraxial techniques, including dural puncture epidural (DPE), single-shot spinal, and continuous spinal analgesia, are among the many options available to alleviate the pain of childbirth.
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