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http://www.allaboutepidural.com/epidural-and-instrumental-delivery
Epidural and instrumental delivery (forceps and vacuum) Instrumental delivery – forceps and vacuum – are associated with high incidence of perineal tears and neonatal injury. While epidural increases the use of instrumental delivery, it does not result in the increased rate of its complications.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(01)06742-3/fulltext
Nov 17, 2001 · However, the study groups were not comparable, since only the old-fashioned epidural group and the combined spinal epidural group received intermittent boluses, whereas analgesia was provided continuously in the low-dose epidural group, which explains the large difference in drug consumption between the combined spinal epidural and continuous infusion groups.Author: Donal J Buggy, Naeem Ahmed, Elaine Hart
http://journals.lww.com/obgynsurvey/Abstract/1984/10000/Epidural_Analgesia_and_Instrumental_Delivery_.10.aspx
Epidural analgesia has been long associated with instrumental delivery. This is due partly to its use in cases which require such delivery for obstetrical and medical reasons. There are, however, situations in which the epidural itself may be responsible for the use of forceps.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(01)06744-7/fulltext
Nov 17, 2001 · Previous Article Instrumental delivery and epidural anaesthesia. ... however, showed that this method was by no means the most common by which low-dose epidural analgesia was provided, but was used as maintenance analgesia by only 19 of the 190 units who responded, with a further 24 using various forms of agents and concentrations, presumably ...
https://www.sciencedirect.com/science/article/pii/S1010660X1500021X
Epidural analgesia is an increasingly popular labor pain management technique with well documented favorable efficacy and safety profile. However, controversial opinion about relation between EA and cesarean section, instrumental deliveries, prolonged labor still exists.Author: Kęstutis Rimaitis, Olga Klimenko, Marius Rimaitis, Asta Morkūnaitė, Andrius Macas
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5136389/
Nov 20, 2016 · Women with an epidural analgesia had a higher instrumental delivery (37.9% versus 16.4%; p < 0.001) and CS delivery rate (26% versus 10.1%; p < 0.001). Multivariable analysis indicated that the use of an epidural was not a risk factor for a CS delivery but was a risk factor for an instrument-assisted delivery (adjusted OR = 3.63; 95% CI: 2.51–5.24; p < 0.001).Author: Angeliki Antonakou, Dimitrios Papoutsis
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC421779/
Jun 12, 2004 · Epidural analgesia may be associated with a higher risk of instrumental vaginal delivery. Although epidural analgesia was associated with a longer second stage of labour, neonates seemed unharmed.Author: E H C Liu, A T H Sia
https://academic.oup.com/bjaed/article/4/4/114/308005
Aug 01, 2004 · The use of epidural analgesia does appear to have an effect on the instrumental delivery rate. A meta-analysis of RCTs comparing epidural with non-epidural analgesia during labour found that instrumental vaginal deliveries were more common in those receiving epidural analgesia, with an odds ratio of 2.19 (95% CI 1.32–7.78).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.
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