Epidural analgesia for labor and delivery.

نویسندگان

  • Barbara S Koppel
  • Maria Chiechi
چکیده

n engl j med 362;16 nejm.org april 22, 201

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THE EFFECT OF INTRAPARTUM EPIDURAL ANALGESIA ON NULLIPAROUS LABOR

Our purpose was to determine the effect of epidural analgesia on nulliparous labor and delivery. Nonnal term nulliparous women in spontaneous labor were divided into two groups in a quazi-experimental study, 100 in each group. The first group received epidural analgesia and the second had no analgesia at all. In the first group, an epidural catheter was placed in 3-4 cm cervical dilatation ...

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EFFECTS OF EPIDURAL ANALGESI A WITH LOW-DOSE BUPIVACAINE AND FENTANYL ON THE PROGRESS OF LABOR AND MODE OF DELIVERY

Background and Objective: Epidural analgesia (EA) has been used to relieve labor pain in many obstetric units, yet controversy persists about its effect on progress and outcome in labor. The purpose of the current study was to evaluate the effect of EA on the rate of cervical dilation and myometrial contractility. Methods: In a 6-month period, 36 women who received standardized EA were mat...

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Does intrapartum epidural analgesia affect nulliparous labor and postpartum urinary incontinence?

BACKGROUND The effect of epidural analgesia on nulliparous labor and delivery remains controversial. In addition, pregnancy and delivery have long been considered risk factors in the genesis of stress urinary incontinence (SUI). We sought to determine the effect of epidural analgesia and timing of administration on labor course and postpartum SUI. METHODS Five hundred and eighty three nullipa...

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Comparison of Epidural versus Entonox for Labor Analgesia in Nulliparous Women

 Introduction: The aim of this study is to compare the efficacy of epidural versus entonox methods for labor analgesia in nulliparous women.  Methods: This randomized controlled trial was performed on 84 nulliparous women with - pregnancy admitted to Imam Reza Hospital in 10 May 2010- 10 May 2011.  They were randomly divided into two groups 42 women inhaled entonox in active phase at the ...

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Mode of delivery following labor epidural analgesia: influence of ropivacaine and bupivacaine.

Epidural analgesia is a popular and effective method for pain relief during labor. Bupivacaine is a commonly used local anesthetic for labor epidural analgesia. Ropivacaine is an amino acid local anesthetic that is structurally related to bupivacaine with a similar potency and duration, but ropivacaine has less cardiac toxicity than bupivacaine and produces less motor blockade. These properties...

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Comparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases.

BACKGROUND Combined spinal-epidural analgesia provides rapid-onset analgesia with minimal motor block, but it is a more invasive technique than epidural analgesia and the risk of complications may be increased. This study compared the safety and effect on delivery of combined spinal-epidural and epidural analgesia in labor. METHODS A retrospective observational study was performed. Data were ...

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عنوان ژورنال:
  • Anesthesia and analgesia

دوره 48 4  شماره 

صفحات  -

تاریخ انتشار 1969