Epidurals Redefined in Analgesia and Anesthesia: A Distinction With a Difference

Youngstrom, Paul C.; Baker, Sybil W.; Miller, Jackie L.

doi:10.1111/j.1552-6909.1996.tb02581.x

Cited by 12 publications

(7 citation statements)

References 17 publications

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“…The importance of prenatal preferences for labor epidural warrants further examination of factors that may provide a complete sensory block (Youngstrom, Baker, & Miller, 1996).…”

mentioning

confidence: 99%

Exploring Women’s Preferences for Labor Epidural Analgesia

Stark

2003

J Perinat Educ

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The purpose of this study was to explore demographic factors related to women’s prenatal preferences for using an epidural during labor. Women recruited from prenatal classes provided data for this descriptive correlational study. Women with the most education, income, and parity indicated greatest preference for epidural analgesia. Thus, these women may be comfortable with the technology and most likely to be willing to pay for epidurals and to select care providers who provide epidural anesthesia. In this sample, prenatal preference for an epidural was not predictive of actual use, although it has been shown to be predictive in previous research.

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“…The importance of prenatal preferences for labor epidural warrants further examination of factors that may provide a complete sensory block (Youngstrom, Baker, & Miller, 1996).…”

mentioning

confidence: 99%

Exploring Women’s Preferences for Labor Epidural Analgesia

Stark

2003

J Perinat Educ

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“…The term analgesia is used to define pain management for labor, whereas anesthesia refers to pain management for an interventional procedure (such as C‐section) (Youngstrom, Baker, & Miller, 1996). While recognizing that epidural anesthesia and spinal anesthesia are not interchangeable terms, for simplicity, the term RA will be used to describe both techniques.…”

Section: Methodsmentioning

confidence: 99%

Obstetric anesthesia/analgesia does not affect disease course in multiple sclerosis: 10‐year retrospective cohort study

et al. 2018

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ObjectivesMultiple sclerosis (MS) often occurs in young women and the effect of obstetric anesthesia/analgesia on the disease is poorly understood. No previous study has investigated the course of the disease in women in labor in the Czech Republic. The aim of this study was to evaluate the occurrence or absence of relapses in the 6‐month postpartum period in MS parturients with and without obstetric anesthesia/analgesia.Materials and MethodsWe retrospectively studied all deliveries (n = 58,455) at the University Hospital Brno from 2004 to 2013 and identified those of the women with an ICD‐10 code G35 (MS) recorded anytime in their medical history (n = 428). We included only deliveries of women with confirmed diagnosis at the time of labor (n = 70). Statistical analysis was performed using the Fischer Exact Test.ResultsThere were 70 deliveries of 65 women, including 45 vaginal deliveries and 25 Cesarean deliveries (16 under general anesthesia, 8 with epidural anesthesia and 1 with spinal anesthesia). Epidural obstetric analgesia was performed in 11 deliveries. There was no statistically significant difference in relapses between the vaginal delivery group (n = 15; 33%) and Cesarean section group (n = 10; 40%), p = 0.611.ConclusionNeither delivery mode (vaginal vs Caesarean) nor type of obstetric anesthesia/analgesia was found to have any impact on the course of MS at 6 months postpartum in women with this condition.

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“…These observations reflect the degree to which medications given to the laboring woman have been transmitted to the fetus; sometimes the effects of such drugs are noticeable for many hours or days after birth. These effects include diminished alertness, poorer muscle tone, and poor or ineffective feeding behaviors (Crowell, Hill, & Humenick, 1994;Loftus et al, 1995;Matthews, 1989;Murray, Dolby, Nation, & Thomas, 1981;Sepkoski, Lester, Ostheimer, & Brazelton, 1992; Thorp & Breedlove, 1996;Youngstrom, Baker, & Miller, 1996). Even in cases in which the mother controls her own medication after delivery, such as when a patient-controlled analgesic pump is used for pain relief after cesarean section, similar outcomes have been observed, particularly with meperidine (Wittels et al, 1997).…”

Section: Two Common Myths About Drugs and Breastfeedingmentioning

confidence: 99%

Breastfeeding Maternal Medication Use

Auerbach

1999

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Epidurals Redefined in Analgesia and Anesthesia: A Distinction With a Difference

Cited by 12 publications

References 17 publications

Exploring Women’s Preferences for Labor Epidural Analgesia

Exploring Women’s Preferences for Labor Epidural Analgesia

Obstetric anesthesia/analgesia does not affect disease course in multiple sclerosis: 10‐year retrospective cohort study

Breastfeeding Maternal Medication Use

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