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January 1, 2014Indian Journal of PainOpen Access

Labor epidural analgesia: Past, present and future

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Key result

Lumbar epidural analgesia remains the gold standard for labor pain management despite complications like hypotension, based on a literature review of 5,018 articles.

Why the study?

What are the past, present, and future techniques, complications, and myths surrounding labor epidural analgesia?

Population

Women in labor

Design

Review

Authors

APAbhijit PaulNarayana HealthRRReena ReenaMedical University of VarnaKBK.K. BandyopadhyayIndian Institute of Water Management

Discussion

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Implication

Supports vigilance for hypotension with labor epidurals; extends literature synthesis while leaving optimization questions open.

Structured PICO

What are the past, present, and future techniques, complications, and myths surrounding labor epidural analgesia?

P
Population
Women in labor
I
Intervention
Labor epidural analgesia (including lumbar epidural, continuous caudal analgesia, and combined spinal epidural analgesia)
O
Outcome
Labor analgesia efficacy and safety

This review summarizes the current state of labor epidural analgesia, confirming it as the gold standard while highlighting common complications and dispelling myths about its adverse effects on labor progression.

Cite This Study

Paul et al. (2014) conducted a review in Labor pain. Labor epidural analgesia was evaluated. Lumbar epidural analgesia remains the gold standard for labor pain management despite complications like hypotension, based on a literature review of 5,018 articles.

synapsesocial.com/papers/6a7c46a4e7cf49620a26b4d6https://doi.org/10.4103/0970-5333.132843
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Labour analgesia: Recent advances2010 · 86 citations
  2. 2The effects of epidural analgesia in normal labor2018 · 1 citations
  3. 3Epidural Analgesia During Labour: A Comprehensive Review2025
  4. 4Effective Epidural Analgesia during Labor: A Feasible Method to Decrease Unnecessary Cesarean Deliveries in Thailand2024 · 2 citations
  5. 5Comparative efficacy of dural puncture epidural, epidural analgesia, and combined spinal‐epidural techniques in obstetrics: Quality of analgesia, side effects, and labor analgesia phase outcomes: Narrative review2026