Document Detail

Does the station of the fetal head during epidural analgesia affect labor and delivery?
MedLine Citation:
PMID:  10190668     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess whether the station of the fetal head when lumbar epidural analgesia is administered influences the duration or the mode of delivery in low-risk laboring women. METHODS: We prospectively evaluated 131 consecutive cases of low-risk parturients at term who requested intrapartum epidural analgesia. Obstetric outcome of 65 parturients who underwent epidural analgesia when the fetal head was low in the birth canal was compared to 66 patients whose fetal head station was above the ischial spine. RESULTS: Both groups were similar in their obstetric characteristics. Cervical dilatation when performing the epidural analgesia was similar in both groups. The duration of labor and mode of delivery, as well as percentage of malpositions, were not significantly different in the two groups. CONCLUSIONS: The station of the fetal head while initiating epidural analgesia does not influence the duration of labor or the mode of delivery. Therefore, there is no justification to delay epidural analgesia in labor until the presenting fetal part is engaged.
E Sheiner; E K Sheiner; D Segal; M Mazor; O Erez; M Katz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  64     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-06-08     Completed Date:  1999-06-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  43-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Soroka Medical Center, Beer-Sheva, Israel.
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MeSH Terms
Analgesia, Epidural*
Delivery, Obstetric*
Drug Administration Schedule
Labor Presentation*
Labor, Obstetric*
Pain Measurement
Prospective Studies
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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