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https://www.nejm.org/doi/full/10.1056/NEJMoa042573
Background Epidural analgesia initiated early in labor (when the cervix is less than 4.0 cm dilated) has been associated with an increased risk of cesarean delivery. It is unclear, however, whether...Author: Cynthia A. Wong, Barbara M. Scavone, Alan M. Peaceman, Robert J. McCarthy, John T. Sullivan, Nathani...
https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1942823
Labor Analgesia and Cesarean Delivery: An Individual Patient Meta-analysis of Nulliparous Women . You will receive an email whenever this article is corrected, updated, or cited in the literature. You can manage this and all other alerts in My Account. The alert will be sent to: ...
https://www.aafp.org/afp/2018/1101/od2.html
Nov 01, 2018 · Clinical Question. Is there an increased risk of cesarean delivery in women who receive epidural analgesia in the latent phase of the first stage of labor compared with the active phase?
https://www.clinicalpainadvisor.com/home/decision-support-in-medicine/anesthesiology/neuraxial-analgesia-for-labor-delivery/
Rarely applicable to labor analgesia. After cesarean delivery using general anesthesia, the patient should be awake and following commands before extubation because of GE reflux and potential for ...
https://www.hindawi.com/journals/arp/2019/6381792/
Background . If conversion of labor epidural analgesia to cesarean delivery anesthesia fails, the anesthesiologist can be confronted with a challenging clinical dilemma. Optimal management of a failed epidural top up continues to be debated in the absence of best practice guidelines. Method . All members of the Obstetric Anaesthetists’ Association in the United Kingdom were emailed an ...
https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1932472
NEURAXIAL analgesia is the most effective treatment available for pain control during labor and delivery, and it is a preferable method because it can provide more effective pain relief compared with nonneuraxial pharmacological analgesia.1 However, optimal timing of epidural analgesia (EA) has been a controversial issue and how early in the latent phase of labor can women benefit from ...
https://www.aana.com/docs/default-source/practice-aana-com-web-documents-(all)/analgesia-and-anesthesia-for-the-obstetric-patient.pdf?sfvrsn=be7446b1_8
patients during labor and delivery. In the context of these guidelines, anesthesia is the care provided for surgical intervention (e.g., cesarean section), and analgesia is the care provided for pain management (e.g., labor epidural, post-cesarean pain control). These guidelines do not
https://www.aafp.org/afp/1998/1115/p1785.html
Epidural analgesia is a commonly employed technique of providing pain relief during labor. The number of parturients given intrapartum epidural analgesia is reported to be over 50 percent at many ...
https://www.outsourcestrategies.com/blog/coding-for-neuraxial-labor-analgesia-anesthesia.html
For a cesarean delivery or cesarean hysterectomy following neuraxial labor analgesia, report codes 01968 or 01969 appropriately. Anesthesia time and modifiers are required in this case. Use code 01996 for daily management of epidural or sub-arachnoid drug administration; anesthesia time and modifiers are not required for this code.
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2019/02/Approaches%20to%20Limit%20Intervention%20During%20Labor%20and%20Birth
A meta-analysis that included three RCTs of low-risk nulliparous women at 36 weeks of gestation or more without epidural analgesia found no differences in the rates of operative vaginal delivery, cesarean delivery, episiotomy, or perineal lacerations.
https://soap.org/members/soap-expert-opinions/management-of-a-failed-labor-epidural/
In a systematic review and meta-analysis of observational trials of risk factors for failed conversion of labor epidural analgesia to cesarean delivery anesthesia, Bauer et al. 4 determined the risk of failed conversion of labor epidural analgesia to anesthesia was increased with an increasing number of boluses administered during labor, and ...
https://www.uptodate.com/contents/cesarean-delivery-preoperative-planning-and-patient-preparation?search=cesarean%20section&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2
Cesarean delivery (also called cesarean section and cesarean birth) is one of the most common major surgical procedures performed in an operating room in the Un ... Neuraxial anesthesia/analgesia techniques in the patient receiving anticoagulant or antiplatelet medication; ... and trial of labor after cesarean delivery are discussed separately:
https://www.acog.org/en/Clinical/Clinical%20Guidance/Obstetric%20Care%20Consensus/Articles/2014/03/Safe%20Prevention%20of%20the%20Primary%20Cesarean%20Delivery
Background. In 2011, one in three women who gave birth in the United States did so by cesarean delivery 1.Even though the rates of primary and total cesarean delivery have plateaued recently, there was a rapid increase in cesarean rates from 1996 to 2011 Figure 1.Although cesarean delivery can be life-saving for the fetus, the mother, or both in certain cases, the rapid increase in the rate of ...
https://www.apsf.org/article/pro-and-con-using-a-labor-epidural-for-cesarean-delivery-pro-dose-the-epidural-for-surgical-anesthesia/
Labor patients requiring intrapartum cesarean delivery (CD) may present with an indwelling epidural catheter to anesthesia professionals on Labor and Delivery (L&D). Dosing the labor epidural to achieve surgical anesthesia should be considered as the first-line approach.
https://www.scholars.northwestern.edu/en/publications/the-risk-of-cesarean-delivery-with-neuraxial-analgesia-given-earl
abstract = "BACKGROUND: Epidural analgesia initiated early in labor (when the cervix is less than 4.0 cm dilated) has been associated with an increased risk of cesarean delivery.
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