“…A recent study from the Department of Anesthesiology at Baylor College of Medicine concluded that there is strong evidence that the use of epidural analgesia during labour is associated with an increase in instrumental deliveries. In this comparison there were 609 consecutive patients having an instrumental 29 Nulliparous Parous Combined parity Diro, 1985 6 Combined parity Poore, 1985 5 Combined parity Kaminski, 1987 30 Nulliparous Parous Combined parity Cox, 1988 31 Combined parity Lurie, 1987 31 Combined parity Neuhoff, 1989 32 Nulliparous Thorp, 1989 7 Nulliparous Eakes, 1990 33 Nulliparous Thorp, 1991 9 Nulliparous Paterson, 1992 16 Nulliparous Parous Combined parity Peaceman, 1993 34 ' 1 Nulliparous Bright, 1993 35 Combined parity Cammu, 1994 11 Nulliparous Newton, 1995 17 Combined parity Hawkins-1,1995 36 Nulliparous Hawkins-ll, 1995 36 Nulliparous Parous Combined parity Hueston, 1995 37 Combined parity Ploeckinger, 1995 38 Combined parity Ueberman, 1996 3at Nulliparous delivery and 246 controls having a spontaneous vaginal delivery. The second part was a case control study designed to determine factors, in addition to epidural analgesia, associated with an increase in instrumental delivery.…”