Document Detail

Epidural analgesia during labor.
MedLine Citation:
PMID:  9835854     Owner:  NLM     Status:  MEDLINE    
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 institutions in the United States. The procedure has few contraindications, the primary ones being patient refusal, maternal hemorrhage and coagulopathy. Induction of epidural analgesia in early labor remains controversial. However, many physicians induce analgesia as soon as the diagnosis of active labor has been established and the patient has requested pain relief. The most common complications occurring with epidural analgesia are maternal hypotension and postdural puncture headache. Retrospective studies have demonstrated an association between epidural analgesia and increases in duration of labor, instrumental vaginal delivery and cesarean section for labor. However, several recent prospective studies have concluded that epidural analgesia does not adversely affect the progress of labor or increase the rate of cesarean section. These remain controversial issues among practicing physicians.
R D Vincent; D H Chestnut
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American family physician     Volume:  58     ISSN:  0002-838X     ISO Abbreviation:  Am Fam Physician     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1998-12-15     Completed Date:  1998-12-15     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1785-92     Citation Subset:  AIM; IM    
Department of Anesthesiology, University of Alabama School of Medicine, Birmingham 35233-6810, USA.
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MeSH Terms
Analgesia, Epidural* / adverse effects,  contraindications,  methods
Analgesia, Obstetrical* / adverse effects,  contraindications,  methods
Labor, Obstetric*
Patient Selection
Time Factors
Comment In:
Am Fam Physician. 1998 Nov 15;58(8):1743-4, 1746   [PMID:  9835848 ]

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

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