Labor epidurals and outcome

被引：22
作者：
Gaiser, Robert R. [1 ]
机构：
[1] Hosp Univ Penn, Dept Anesthesia Pharmacol Obstet & Gynaecol, 3400 Spruce St, Philadelphia, PA 19104 USA
来源：
BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY | 2005年 / 19卷 / 01期
关键词：
labor; epidural analgesia; cesarean delivery; forceps delivery;
D O I：
10.1016/j.bpa.2004.07.001
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
The use of epidural analgesia for labor continues to increase dramatically. It has been suggested that epidural analgesia increases the risk of cesarean section, operative vaginal delivery, and prolonged labor. These issues have been extensively investigated. The use of epidural analgesia does not increase the risk of cesarean section. It may affect the incidence of forceps delivery, but it depends on the medications used. Epidural analgesia does prolong labor, although the clinical significance of this prolongation has not been shown.
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页码：1 / 16
页数：16
相关论文
共 47 条
[1]  
ACOG, 2002, INT J GYNECOL OBSTET, V78, P321
[2]   FACTORS CONTRIBUTING TO THE INCREASED CESAREAN BIRTH-RATE IN OLDER PARTURIENT WOMEN [J].
ADASHEK, JA ;
PEACEMAN, AM ;
LOPEZZENO, JA ;
MINOGUE, JP ;
SOCOL, ML .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1993, 169 (04) :936-940
[3]   Epidural analgesia lengthens the Friedman active phase of labor [J].
Alexander, JM ;
Sharma, SK ;
McIntire, DD ;
Leveno, KJ .
OBSTETRICS AND GYNECOLOGY, 2002, 100 (01) :46-50
[4]  
Alexander JM, 2001, ANESTH ANALG, V92, P1524
[5]   Nulliparous active labor, epidural analgesia, and cesarean delivery for dystocia [J].
Bofill, JA ;
Vincent, RD ;
Ross, EL ;
Martin, RW ;
Norman, PF ;
Werhan, CF ;
Morrison, JC .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 177 (06) :1465-1470
[6]  
BROMAGE PR, 1961, CAN MED ASSOC J, V85, P1136
[7]  
CATTON DV, 1969, ANESTH ANAL CURR RES, V48, P587
[8]   DOES EARLY ADMINISTRATION OF EPIDURAL ANALGESIA AFFECT OBSTETRIC OUTCOME IN NULLIPAROUS WOMEN WHO ARE IN SPONTANEOUS LABOR [J].
CHESTNUT, DH ;
MCGRATH, JM ;
VINCENT, RD ;
PENNING, DH ;
CHOI, WW ;
BATES, JN ;
MCFARLANE, C .
ANESTHESIOLOGY, 1994, 80 (06) :1201-1208
[9]   DOES EARLY ADMINISTRATION OF EPIDURAL ANALGESIA AFFECT OBSTETRIC OUTCOME IN NULLIPAROUS WOMEN WHO ARE RECEIVING INTRAVENOUS OXYTOCIN [J].
CHESTNUT, DH ;
VINCENT, RD ;
MCGRATH, JM ;
CHOI, WW ;
BATES, JN .
ANESTHESIOLOGY, 1994, 80 (06) :1193-1200
[10]   THE INFLUENCE OF CONTINUOUS EPIDURAL BUPIVACAINE ANALGESIA ON THE 2ND STAGE OF LABOR AND METHOD OF DELIVERY IN NULLIPAROUS WOMEN [J].
CHESTNUT, DH ;
VANDEWALKER, GE ;
OWEN, CL ;
BATES, JN ;
CHOI, WW .
ANESTHESIOLOGY, 1987, 66 (06) :774-780
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