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https://www.aafp.org/afp/2018/1101/od2.html
Nov 01, 2019 · There is no difference in the risk of cesarean delivery in women who receive epidural analgesia before 4 to 5 cm cervical dilation compared with later dilation. (Strength of Recommendation: A, based on a meta-analysis of randomized controlled trials [RCTs].)Author: Katherine L. Rendon, Vernon Wheeler
https://www.nejm.org/doi/full/10.1056/NEJMoa042573
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 this increase in risk is due to the analgesia or is attributable to other factors.Author: Cynthia A. Wong, Barbara M. Scavone, Alan M. Peaceman, Robert J. McCarthy, John T. Sullivan, Nathani...
https://www.ncbi.nlm.nih.gov/pubmed/15716559/
Feb 17, 2005 · 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 this increase in risk is due to the analgesia or is attributable to other factors.Author: Cynthia A. Wong, Barbara M. Scavone, Alan M. Peaceman, Robert J. McCarthy, John T. Sullivan, Nathani...
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.Author: Cynthia A. Wong, Barbara M. Scavone, Alan M. Peaceman, Robert J. McCarthy, John T. Sullivan, Nathani...
https://www.apsf.org/article/pro-and-con-using-a-labor-epidural-for-cesarean-delivery-con-pull-the-epidural-catheter-and-perform-a-spinal/
Pain during cesarean delivery (CD) is distressing for a patient, and a leading cause of litigation in obstetric anesthesia. 1 It is critical that when providing anesthesia for CD that the parturient is as comfortable as possible. 2,3 In parturients who require CD with a labor epidural catheter in situ, surgical anesthesia is frequently initiated by administering a bolus of local anesthetic (LA) via the epidural catheter…
https://www.sciencedirect.com/science/article/pii/S0002937800701554
Both combined spinal-epidural and continuous-infusion lumbar epidural were associated with a higher risk of cesarean delivery than was seen with no epidural analgesia. The risk of cesarean delivery progressively increased with higher station, less dilatation, and less effacement at the time of epidural catheter placement.Author: Jeffrey D. Traynor, Sharon L. Dooley, Stacy Seyb, Cynthia A. Wong, Amber Shadron
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