Epidural analgesia during labor.

@article{Thorp1999EpiduralAD,
  title={Epidural analgesia during labor.},
  author={James A. Thorp},
  journal={Clinical obstetrics and gynecology},
  year={1999},
  volume={42 4},
  pages={
          785-801
        }
}
  • J. Thorp
  • Published 1 December 1999
  • Medicine
  • Clinical obstetrics and gynecology

Topics from this paper

Awareness, Perceptions, and Desirability of Epidural Analgesia Among Pregnant Women in King Fahad University Hospital, Al Khobar
TLDR
It is demonstrated that the majority of pregnant women were aware, as well as had a positive perception and desirability toward using EDA for labor pain, and pregnant women who had a lack of awareness and perception toward EDA may suffer more from laborPain, which will negatively affect their birth experience and may make it less enjoyable.
The influence of preoperative epidural labor analgesia on postoperative pain in parturients undergoing emergency cesarean section
TLDR
The findings suggest that administration of ELA before emergency C‑sec may act as pre-emptive analgesia against postoperative pain.
[Labor analgesia: Comparison of epidural patient-controlled analgesia and intravenous patient-controlled analgesia].
TLDR
Although PCIVA was found to be satisfactory concerning maternal satisfaction, VAS after 2nd hour were higher compared to PCEA, which is the gold standard in labor analgesia, however, it is believed thatPCIVA is a good alternative to epidural analgesia in cases where epidural morphine is contraindicated or where the patient does not want an epidural.
Painless labour: attitude and awareness amongst pregnant women
TLDR
There is lack of knowledge about labour analgesia among women and Obstetrician and anaesthetist should educate women regarding painless labour.
Perioperative Safety in Middle-Income Countries
markdownabstractThis thesis summarizes the research questions and possible answers based on the scientific work of the author over more than 10 years of Colombian-based research with direct support
A Clinical Prospective, Randomized Study to Compare Combined Spinal Epidural Bupivacaine – Fentanyl and Ropivacaine – Fentanyl for Lower Abdominal and Pelvic Surgeries
TLDR
Bupivacaine with fentanyl was eqully efficaceous to ropivacine with fentanyl in combined spinal epidural block for post-operative analgesics in lower abdominal and pelvic surgeries.
Epidural Analgesia and Any Vaginal Laceration
TLDR
Patients who received epidural analgesia experienced fewer vaginal lacerations than those delivering at an urban hospital staffed by Obstetrics and Gynecology residents after controlling for race and other factors.
Feto-maternal outcome in subject undergoing epidural labour analgesia with Ripovacaine and Fentanyl
TLDR
There is a downward trend in the duration of labour or any increase in the rate of instrumental delivery or caesarean section in parturient receiving epidural analgesia, instead, there is a decline in all the above outcomes.
SINGLE -DOSE INTRATHECAL ANALGESIA TO CONTROL LABOR PAIN IS A USEFUL ALTERNATIVE TO EPIDURAL ANALGESIA IN CERTAIN CONDITIONS
TLDR
Single-dose ITN is good substitute for EA specially in women in advanced labor, multiparous or women with suspected uncomplicated labor course ; ITA will offer rapid and significant pain relief without affecting the course of labor.
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References

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A Randomized Study of Combined Spinal‐Epidural Analgesia versus Intravenous Meperidine during Labor: Impact on Cesarean Delivery Rate
TLDR
Combined spinal‐epidural analgesia during labor does not increase the cesarean delivery rate for dystocia in healthy parturient patients at full term, regardless of parity, however, an unexpected increase in the number of cESarean deliveries for profound fetal bradycardia after intrathecal sufentanil was observed.
Does epidural analgesia cause dystocia?
Effect of epidural vs parenteral opioid analgesia on the progress of labor: a meta-analysis.
TLDR
Epidural labor analgesia is not associated with increased rates of instrumented vaginal delivery for dystocia or cesarean delivery, and patient satisfaction and neonatal outcome are better after epidural than parenteral opioid analgesia.
Epidural Analgesia and Neonatal Fever
TLDR
These numbers, although less dramatic than the 1% and 14.5% found by Lieberman et al1 in their population of 1657 primigravidas, confirm the strong correlation of fever and epidural analgesia.
Epidural analgesia during labor.
Epidural analgesia is a commonly employed technique of providing pain relief during labor. The number of parturients given intrapartum epidural analgesia is reported to be over 50 percent at many
Epidural and other labor analgesic methods.
This article focuses on methods of pain relief during labor, reviewing the current state of the art including risks and benefits. Regional techniques such as epidural or combined spinal/epidural
Epidural labor analgesia and the incidence of cesarean delivery for dystocia
TLDR
It is concluded that epidural labor analgesia is associated with, but does not cause, cesarean delivery for dystocia, and limiting epidural availability will not affect ces Harean delivery rates.
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