| Maternal ambulation during labor. | |
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MedLine Citation:
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PMID: 21508836 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE OF REVIEW: To describe the recent advances in labor epidural analgesia, which may have an impact on maternal ambulation during labor. RECENT FINDINGS: With the advent of new epidural adjuvant drugs and new epidural delivery systems, we are now able to use very low concentration local anesthetic solutions with a reduction in the total doses of local anesthetic administered. This allows a much greater preservation of lower limb motor function in the parturient, with a subsequent positive effect on maternal ambulation. Although it is well documented that maternal satisfaction scores are higher with ambulatory epidurals than with other more conventional epidural techniques, the other positive effects, such as shorter labor times, and a reduction in instrumental and cesarean delivery rates, thought to have been associated with ambulatory epidurals, have however been more difficult to prove. SUMMARY: Since the earliest 'walking epidural' was described in the early 1990s, there has been much research into finding the ideal regional technique for labor analgesia that provides excellent analgesia with high maternal satisfaction scores while having little adverse effect on obstetric outcome. This review attempts to map the journey of the 'walking epidural' from its earliest form to its more recognizable modern day appearance. |
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Authors:
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Adrienne Stewart; Roshan Fernando |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-19 |
Journal Detail:
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Title: Current opinion in anaesthesiology Volume: - ISSN: 1473-6500 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8813436 Medline TA: Curr Opin Anaesthesiol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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University College London Hospital, London, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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