Epidural analgesia for labour pain: whose choice?Acta Obstet Gynecol Scand 2010;89:238-42. Bergström M, Rudman A, Waldenström U, Kieler H. Fear of 

Epidurals are the primary way of relieving pain in women who request analgesia for labor. Epidural anesthesia takes a little longer to establish desired effect. But because a small tube (catheter) can easily be placed in the epidural space, repeated doses of medicine can be given to maintain anesthesia as long as needed.

Neuraxial labor analgesia is the most effective way to manage labor pain, yet minority women are less likely to utilize epidural analgesia for pain control due to concerns about the procedure and inaccurate understanding of the associated risks.2 Untreated pain is of great public health concern, as severe acute postpartum pain may result in the development of both chronic pain and postpartum Epidural analgesia during labor. Am Fam Physician. 1998;58(8):1785–1792. 18. Hofmeyr G, Cyna A, Middleton P. Prophylactic intravenous preloading for regional analgesia in labour.

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The advantages of epidural analgesia include avoidance of hyperventilation, reduced maternal catecholamines, Most anesthesiologists strive for a T10-L1 band of analgesia early in labor, which should cover the pain of uterine contractions and cervical dilation. epidural analgesia in labour [9]. The exact cause of these persisting problems is often unknown. Case history A 28-year-old multiparous woman requested epidural analgesia after 1 I h in labour. Her cervix was 4 cm dilated.

av M Berghäll · Citerat av 5 — Most women experience severe pain during labour. In Finland, 91 percent of parturients obtain some form of pain relief; nitrous oxide and epidural analgesia are 

Am J Perinatol. 1991 Nov;8(6):402-10.

Fig. 11. Comparison 01. Epidural versus non-epidural analgesia in labour. . . . . . . . . . . . . . . . 40 11 Caesarean section for dystocia

Will I be able to move or feel anything after receiving an epidural? delivery and prolong the second stage of labor compared with PCEA-only epidural labor analgesia8, and it is.

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It has proven to be both safe and effective. PCEA has many advantages when compared with continuous epidural infusion (CEI) techniques.

Volume on Total Drug Use for Labour Epidural Analgesia: A Randomized Controlled Trial.
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Limiting epidural use in nulliparous labor and delaying its placement until after 5 cm of cervical dilation may reduce the risk of operative intervention for dystocia. Epidural analgesia may also increase intervention for fetal distress. Several studies show its association with maternal fever in labor.

Outcomes related to epidural analgesia use in a cohort of nulliparous women, including increased rates of labour pyrexia and antibiotic use and reduced breastfeeding rates at 3 months Epidural analgesia in labour: constant infusion plus patient-controlled boluses. Paech MJ(1). Author information: (1)King Edward Memorial Hospital for Women, Perth, Western Australia. A randomised, single-blind study to investigate patient-controlled epidural analgesia during labour was conducted using a solution of low-dose bupivacaine-fentanyl.