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https://www.sciencedirect.com/science/article/pii/S0002937897700929
OBJECTIVE: Our purpose was to examine the effect of epidural analgesia on dystocia-related cesarean delivery in actively laboring nulliparous women. STUDY DESIGN: Active labor was confirmed in nulliparous women by uterine contractions, cervical dilatation of 4 cm, effacement of 80%, and fetopelvic engagement. Patients were randomized to one of two groups: epidural analgesia or …Author: James A. Bofill, Robert D. Vincent, Elaine L. Ross, Rick W. Martin, Patricia F. Norman, Carol F. Wer...
https://www.sciencedirect.com/science/article/abs/pii/S0002937897700929
OBJECTIVE: Our purpose was to examine the effect of epidural analgesia on dystocia-related cesarean delivery in actively laboring nulliparous women. STUDY DESIGN: Active labor was confirmed in nulliparous women by uterine contractions, cervical dilatation of 4 cm, effacement of 80%, and fetopelvic engagement. Patients were randomized to one of two groups: epidural analgesia or narcotics. A strict protocol for labor management …Author: James A. Bofill, Robert D. Vincent, Elaine L. Ross, Rick W. Martin, Patricia F. Norman, Carol F. Wer...
https://www.ncbi.nlm.nih.gov/pubmed/9423752
OBJECTIVE: Our purpose was to examine the effect of epidural analgesia on dystocia-related cesarean delivery in actively laboring nulliparous women. STUDY DESIGN: Active labor was confirmed in nulliparous women by uterine contractions, cervical dilatation of 4 cm, effacement of 80%, and fetopelvic engagement.Author: James A. Bofill, Robert D. Vincent, Elaine L. Ross, Rick W. Martin, Patricia F. Norman, Carol F. Wer...
https://www.academia.edu/13502851/Nulliparous_active_labor_epidural_analgesia_and_cesarean_delivery_for_dystocia
Nulliparous active labor, epidural analgesia, and cesarean delivery for dystocia
https://journals.lww.com/anesthesia-analgesia/Fulltext/1998/07000/Epidural_Labor_Analgesia_and_the_Incidence_of.26.aspx
Epidural labor analgesia is strongly associated with an increased risk of cesarean delivery for dystocia. Whether epidural use, like severe labor pain, merely serves as a marker for dystocia or actually causes dystocia is an open question with great public health consequences.
https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1942823
A recent evaluation of cesarean delivery sponsored by the American College of Obstetricians and Gynecologists 4 concluded, “there was considerable evidence suggesting that there is in fact an association between the use of epidural analgesia for pain relief during labor and the risk of cesarean delivery.”Author: Shiv K. Sharma, Donald D. McIntire, Jackie Wiley, Kenneth J. Leveno
https://www.aafp.org/afp/2007/0601/p1671.pdf
C aring for women with dystocia is a major challenge in maternity care. Dystocia refers to prolonged or slowly progressing labor. It is com- mon in nulliparous women, as indicated by the number requiring augmentation, opera- tive vaginal delivery, or cesarean section.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC421779/
Jun 12, 2004 · The major indication in nulliparous women is dystocia, whereas in multiparous women it is previous caesarean section. 27 Our analysis does not support an association between epidural analgesia and an increased risk of caesarean delivery for dystocia. But the analysis does support an association with an increased risk of instrumental vaginal delivery, which can cause maternal …Author: E H C Liu, A T H Sia
https://www.medscape.com/answers/260036-172161/what-is-labor-dystocia-and-how-is-it-diagnosed-and-managed
Nov 08, 2019 · Answer. While the ACOG defines labor dystocia as abnormal labor that results form abnormalities of the power (uterine contractions or maternal expulsive forces), the passenger (position, size, or presentation of the fetus), or the passage (pelvis or soft tissues), labor dystocia can rarely be diagnosed with certainty.
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