Unintended effects of epidural analgesia during labor: A systematic review

Evaluation of the effect of natural and emotional stress of labor on lactation and breast-feeding

“…The results of the studies concerning the effect of analgesia in lactogenesis-lactation markers are conflicting [44][45][46][47][48]. In the current study, receiving epidural analgesia had positive correlation with positive feelings, lower posttraumatic stress levels and earlier first feeding after delivery.…”

“…In the current study, receiving epidural analgesia had positive correlation with positive feelings, lower posttraumatic stress levels and earlier first feeding after delivery. A systematic review of the literature examining the unintended maternal, fetal, and neonatal effects of epidural analgesia used for pain relief in labor by low-risk women confirmed that epidural is associated with a lower rate of spontaneous vaginal delivery, a higher rate of instrumental vaginal delivery and longer labors, particularly in nulliparous women [49].…”

Effect of combined spinal–epidural analgesia versus epidural analgesia on labor and delivery duration

“…Neuraxial analgesia in nulliparous women has been associated with a slower active labor [6]. These data have been largely supported by observational studies about the first and second stages [7]. Evidence from randomized control trials suggests that only the second stage is prolonged by epidural analgesia, and is not conclusive about the first stage [1].…”

Issues obstétricales et néonatales en « maison de la naissance » : une étude cas-témoins

“…En effet, les effets de l'analgé sie pé ridurale sur le dé roulement du travail sont toujours dé battus dans la litté rature. Les é tudes randomisé es publié es [20][21][22][23] ne permettent pas de conclure dé finitivement sur l'influence de l'analgé sie pé ridurale sur le taux de cé sarienne. Une mé ta-analyse de la Cochrane Database comparant l'analgé sie pé ridurale et celle par opiacé s montrait une tendance à l'augmentation du taux de cé sarienne dans le groupe bé né ficiant d'une analgé sie pé ridurale (Odds Ratio 1,30 ; IC95 % 0,93-1,83) ainsi qu'une augmentation significative de la duré e du travail, du besoin en ocytocique et du taux d'extraction instrumentale [24].…”