| Epidural analgesia in labor and cesarean delivery for dystocia. | |
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MedLine Citation:
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PMID: 8015757 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Published studies assessing the effect of epidural analgesia in nulliparous labor on the frequency of cesarean delivery for dystocia are reviewed. There are at least four retrospective studies and two prospective studies that suggest that epidural analgesia may increase the risk of cesarean delivery for dystocia in first labors. The potential for epidural to increase the frequency of cesarean delivery for dystocia is likely influenced by multiple variables including parity, cervical dilatation at epidural placement, technique of epidural placement, management of epidural during labor, and the obstetrical management of labor after placement of epidural analgesia. Two studies suggest that delaying placement of the epidural until 5 cm of cervical dilatation or greater may reduce the risk of cesarean birth. Epidural is safe and may be a superior labor analgesic when compared with narcotics. However, patients should be informed that epidural analgesia may increase the risk of cesarean birth in first labors. |
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Authors:
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J A Thorp; B A Meyer; G R Cohen; J D Yeast; D Hu |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Obstetrical & gynecological survey Volume: 49 ISSN: 0029-7828 ISO Abbreviation: Obstet Gynecol Surv Publication Date: 1994 May |
Date Detail:
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Created Date: 1994-07-22 Completed Date: 1994-07-22 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0401007 Medline TA: Obstet Gynecol Surv Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 362-9 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, St. Luke's Perinatal Center, Kansas City, MO. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Analgesia, Epidural*
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adverse effects Analgesia, Obstetrical* / adverse effects Cesarean Section* Dystocia / etiology, surgery* Female Humans Labor, Obstetric* Oxytocin / therapeutic use Pregnancy Prospective Studies Retrospective Studies |
| Chemical | |
Reg. No./Substance:
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50-56-6/Oxytocin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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