| Does epidural analgesia affect the rate of spontaneous obstetric lacerations in normal births? | |
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MedLine Citation:
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PMID: 17207748 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The precise relationship between epidural use and genital tract lacerations in normal childbirth is unclear. Data from a clinical trial on measures to lower genital tract trauma in vaginal birth were used for a secondary analysis. The goal was to assess whether epidurals affect the rate of spontaneous obstetric lacerations in normal vaginal births. Maternal characteristics and intrapartum variables were compared in women who did and did not use an epidural in labor, and also in those with and without any sutured lacerations following vaginal birth. Variables that were statistically different in both cases were entered into regression equations for simultaneous adjustment. Epidural use was not an independent predictor of sutured lacerations. Predictors of sutured lacerations included nulliparity, a prolonged second stage, being non-Hispanic white, and an infant birthweight greater than 4000 grams. Elements of midwifery management need further research. |
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Authors:
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Leah L Albers; Laura Migliaccio; Edward J Bedrick; Dusty Teaf; Patricia Peralta |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of midwifery & women's health Volume: 52 ISSN: 1542-2011 ISO Abbreviation: J Midwifery Womens Health Publication Date: 2007 Jan-Feb |
Date Detail:
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Created Date: 2007-01-08 Completed Date: 2007-02-08 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 100909407 Medline TA: J Midwifery Womens Health Country: United States |
Other Details:
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Languages: eng Pagination: 31-6 Citation Subset: IM; N |
Affiliation:
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University of New Mexico College of Nursing, Nursing/Pharmacy Building, Room 216, Albuquerque, NM 87131-5688, USA. lalbers@salud.unm.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Analgesia, Epidural / adverse effects*, nursing, statistics & numerical data Analgesia, Obstetrical / adverse effects*, nursing, statistics & numerical data Female Genitalia, Female / injuries Humans Infant, Newborn Labor Stage, Second Lacerations / epidemiology, etiology*, nursing Natural Childbirth / methods*, nursing, statistics & numerical data New Mexico / epidemiology Obstetric Labor Complications / epidemiology, nursing*, prevention & control Perineum / injuries* Pregnancy Prospective Studies Randomized Controlled Trials as Topic |
| Grant Support | |
ID/Acronym/Agency:
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1 R01 NR05252-01A1/NR/NINR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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