A randomized study of combined spinal-epidural analgesia versus intravenous meperidine during labor: impact on cesarean delivery rate.

@article{Gambling1998ARS,
  title={A randomized study of combined spinal-epidural analgesia versus intravenous meperidine during labor: impact on cesarean delivery rate.},
  author={David R Gambling and Shiv K. Sharma and Susan Marie Ramin and Michael J. Lucas and Kenneth J. Leveno and Jackie Wiley and J E Sidawi},
  journal={Anesthesiology},
  year={1998},
  volume={89 6},
  pages={1336-44}
}
BACKGROUND Combined spinal-epidural (CSE) analgesia produces rapid-onset pain relief and allows ambulation in early labor. Epidural local anesthetics may contribute to an increase in operative deliveries by decreasing perineal sensation and causing motor weakness. Operative delivery rates might be reduced with CSE, by avoiding or delaying administration of local anesthetics. This study compares the operative delivery rates associated with a CSE technique and those associated with intravenous… CONTINUE READING
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