Epidural versus non-epidural or no analgesia for pain management in labour.

@article{AnimSomuah2018EpiduralVN,
  title={Epidural versus non-epidural or no analgesia for pain management in labour.},
  author={Millicent Anim-Somuah and Rebecca Smyth and Allan Michael Cyna and Anna Cuthbert},
  journal={The Cochrane database of systematic reviews},
  year={2018},
  volume={5},
  pages={
          CD000331
        }
}
BACKGROUND Epidural analgesia is a central nerve block technique achieved by injection of a local anaesthetic close to the nerves that transmit pain, and is widely used as a form of pain relief in labour. However, there are concerns about unintended adverse effects on the mother and infant. This is an update of an existing Cochrane Review (Epidural versus non-epidural or no analgesia in labour), last published in 2011. OBJECTIVES To assess the effectiveness and safety of all types of epidural… 
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TLDR
Epidural analgesia was found to offer better pain relief and the need for additional means of pain relief; maternal satisfaction; and the length of second stage of labour; and oxytocin augmentation.
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TLDR
There appears to be little basis for offering CSE over epidural analgesia in labour with no difference in overall maternal satisfaction despite a slightly faster onset with CSE and less pruritus with epidurals.
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TLDR
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TLDR
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TLDR
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