Lumbar epidural analgesia in labour: relation to fetal malposition and instrumental delivery.

Hoult, Ian J.; MacLennan, Alexander; Carrie, L.E.S.

doi:10.1136/bmj.1.6052.14

Cited by 154 publications

(34 citation statements)

References 4 publications

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“…A few randomized [23; see ref. 51] and nonrandomized prospective studies reported similar results [27][28][29][30], especially when the epidural analgesia was initiated during the latent phase of labor [28]. Most investigators reported a causal relationship even though selection can not be eliminated without randomization of the studies [16].…”

Section: Effects On Progress Of Laborsupporting

confidence: 48%

Lumbar Epidural Analgesia for Labor and Vaginal Delivery

Schabel¹,

Poppers²

1997

Gynecol Obstet Invest

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Lumbar epidural analgesia has become the preferred method of pain relief for labor and delivery. Proper administration of epidural analgesia offers many advantages for both mother and fetus. With the availability of various local anesthetics, opioids, and infusion techniques, the analgesia can be tailored to the specific needs of the mother, fetus, and labor. Its effect on the progress of labor remains a controversial topic subject to ongoing investigation.

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Section: Effects On Progress Of Laborsupporting

confidence: 48%

Lumbar Epidural Analgesia for Labor and Vaginal Delivery

Schabel¹,

Poppers²

1997

Gynecol Obstet Invest

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“…Epidural analgesia was found to be a strong predictor of instrument use (OR 3.01, 95% CI -2.225-4.075). Operative vaginal delivery is well documented to be a significant cause of third-and fourth-degree laceration in both this study and many others [12][13][14][15][16] (OR 3.245, 95% CI 2.162-4.869). Given these facts, it is strongly sug- gested that epidural analgesia can be linked to increased numbers of patients who have severe perineal trauma as a result of an increase in operative vaginal delivery.…”

Section: Discussionmentioning

confidence: 90%

Epidural Analgesia and Severe Perineal Laceration in a Community-based Obstetric Practice

Carroll

Engelken²,

Mosier³

et al. 2003

The Journal of the American Board of Family Medicine

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Background: This study assessed whether epidural analgesia was an independent risk factor for severe perineal laceration.Methods: A retrospective cohort study analyzed 2,759 patients at St. Francis Regional Medical Center who had vertex, spontaneous or induced, singleton, live, vaginal deliveries of neonates of at least 36 weeks' gestation. Patients with diabetes or severe cardiac disease were excluded. Outcomes measured were third-or fourth-degree perineal lacerations.Results: Overall rate of severe perineal laceration was 6.38% (n ‫؍‬ 176). Epidural analgesia was given to 634 (

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“…The major disadvantages relate to the high cost and potential for such rare but serious maternal complications as cerebrospinal leak after an inadvertent spinal tap and total spinal paresis. In addition, by interfering with maternal expulsive efforts, there is an increased need for assisted delivery [8].…”

Section: Discussionmentioning

confidence: 99%

Survey of Drug Use in Labour in a Kuwaiti Hospital: A Pilot Study

et al. 1999

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Objective: To study the trends of drugs used in labour in Kuwait. Methods: A drug survey of a total of 326 mothers was conducted in the labour room of the Maternity Hospital, Kuwait. Data were collected from the prescription sheets and patient files by four doctors from the labour room based on a 4-day duty rotation schedule. Results: Percentages of the prescribed drugs were: analgesics 59.5, tranquilizers 25.5, uterotonics 7.4, antibiotics 5.5, anticonvulsants 0.9, antihypertensives 1.5, and H₂ receptor blockers 38.96. Conclusion: Our survey has shown that analgesics, H₂ receptor blockers and tranquilizers constitute the most commonly used drugs in labour.

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Lumbar epidural analgesia in labour: relation to fetal malposition and instrumental delivery.

Cited by 154 publications

References 4 publications

Lumbar Epidural Analgesia for Labor and Vaginal Delivery

Lumbar Epidural Analgesia for Labor and Vaginal Delivery

Epidural Analgesia and Severe Perineal Laceration in a Community-based Obstetric Practice

Survey of Drug Use in Labour in a Kuwaiti Hospital: A Pilot Study

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