What does this research mean for the field?

Early initiation of epidural analgesia does not increase the risk of cesarean section or prolong second-stage labor, but it is associated with a higher incidence of maternal pyrexia. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This review examines important issues related to epidural analgesia during labor, focusing on labor duration and maternal fever.

February 5, 2020Chinese Medical JournalOpen Access

Concerned topics of epidural labor analgesia: labor elongation and maternal pyrexia: a systematic review

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Authors

CLCai-Juan LiHebei North University FXFan XiaNanjing Medical University SXShiqin XuFuyang City People's Hospital

Discussion

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Implication

Systematic review investigates labor duration and maternal fever related to epidural analgesia, indicating critical questions for future practice.

Key Points

This review examines important issues related to epidural analgesia during labor, focusing on labor duration and maternal fever.
Systematic search of PubMed for articles published up to 2019 using specific search terms.
Included 38 studies after a screening process from 835 articles, comprising randomized trials and observational studies.
Analysis included data on labor processes and maternal pyrexia associated with epidural analgesia.
Early initiation of epidural analgesia does not raise cesarean delivery risk.
Continuous low-dose epidural analgesics do not extend second-stage labor duration or worsen outcomes.
Maternal pyrexia is more frequent in cases of epidural analgesia compared to systemic opioids, linking pyrexia to non-infectious inflammation.

Cite This Study

Li et al. (2020) studied this question.

synapsesocial.com/papers/6a23c695b7e293e61ca61bf9 https://doi.org/10.1097/cm9.0000000000000646

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Implication

Systematic review investigates labor duration and maternal fever related to epidural analgesia, indicating critical questions for future practice.

Concerned topics of epidural labor analgesia: labor elongation and maternal pyrexia: a systematic review

Discussion

Member takes

Implication

Key Points

Cite This Study

Concerned topics of epidural labor analgesia: labor elongation and maternal pyrexia: a systematic review

Discussion

Member takes

Implication

Key Points

Cite This Study

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