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.

引用

页码：1 / 16

页数：16

共 47 条

[11] CONTINUOUS EPIDURAL INFUSION OF 0.0625-PERCENT BUPIVACAINE-0.0002-PERCENT FENTANYL DURING THE 2ND-STAGE OF LABOR [J].

CHESTNUT, DH ;

LASZEWSKI, LJ ;

POLLACK, KL ;

BATES, JN ;

MANAGO, NK ;

CHOI, WW .

ANESTHESIOLOGY, 1990, 72 (04) :613-618

[12] CONTINUOUS INFUSION EPIDURAL ANALGESIA DURING LABOR - A RANDOMIZED, DOUBLE-BLIND COMPARISON OF 0.0625-PERCENT BUPIVACAINE 0.0002-PERCENT FENTANYL VERSUS 0.125-PERCENT BUPIVACAINE [J].

CHESTNUT, DH ;

OWEN, CL ;

BATES, JN ;

OSTMAN, LG ;

CHOI, WW ;

GEIGER, MW .

ANESTHESIOLOGY, 1988, 68 (05) :754-759

[13] Risk factors for perineal injury during delivery [J].

Christianson, LM ;

Bovbjerg, VE ;

McDavitt, EC ;

Hullfish, KL .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 189 (01) :255-260

[14] The influence of epidural analgesia on cesarean delivery rates: A randomized, prospective clinical trial [J].

Clark, A ;

Carr, D ;

Loyd, G ;

Cook, V ;

Spinnato, J .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1998, 179 (06) :1527-1533

[15]

CRAFT JB, 1972, ANESTH ANAL CURR RES, V51, P243

[16] Risk factors for arrest of descent during the second stage of labor [J].

Feinstein, U ;

Sheiner, E ;

Levy, A ;

Hallak, M ;

Mazor, M .

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2002, 77 (01) :7-14

[17] Epidural labor analgesia and the incidence of cesarean delivery for dystocia [J].

Fogel, ST ;

Shyken, JM ;

Leighton, BL ;

Mormol, JS ;

Smeltzer, JS .

ANESTHESIA AND ANALGESIA, 1998, 87 (01) :119-123

[18] PRIMIGRAVID LABOR - A GRAPHICOSTATISTICAL ANALYSIS [J].

FRIEDMAN, EA .

OBSTETRICS AND GYNECOLOGY, 1955, 6 (06) :567-589

[19]

GIBBS CP, 1986, ANESTHESIOLOGY, V65, P298

[20] OXYTOCIN DEFICIENCY AT DELIVERY WITH EPIDURAL ANALGESIA [J].

GOODFELLOW, CF ;

HULL, MGR ;

SWAAB, DF ;

DOGTEROM, J ;

BUIJS, RM .

BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1983, 90 (03) :214-219

← 1 2 3 4 5 →