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January 1, 1988Journal of Obstetrics and Gynaecology

Epidural analgesia implies a high forceps rate—can this be reduced?

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Why the study?

Does prolonging the second stage of labour reduce the forceps rate in patients with epidural analgesia?

Population

Patients in labour with epidural analgesia

Design

Other

Authors

DRD. H. RICHMONDUniversity of LiverpoolJMJames H. MacDonaldAnne Arundel Medical CenterTRThomas RyanCornell University

Discussion

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Implication

Hypothesis-generating in epidural patients; randomized trials needed before any practice change.

Structured PICO

Does prolonging the second stage of labour reduce the forceps rate in patients with epidural analgesia?

P
Population
Patients in labour with epidural analgesia
I
Intervention
Prolonging the second stage of labour (plan of management)
O
Outcome
Spontaneous delivery / reduction in forceps rate

Prolonging the second stage of labour may encourage spontaneous delivery and reduce the incidence of forceps delivery in patients receiving epidural analgesia.

Cite This Study

RICHMOND et al. (1988) studied this question.

synapsesocial.com/papers/6a83a73a5dc7077fe9c577bbhttps://doi.org/10.3109/01443618809151335
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Also Consider

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

  1. 1Lumbar epidural analgesia in labour: relation to fetal malposition and instrumental delivery.1977 · 161 citations
  2. 2Uterine activity in the second stage of labour and the effect of epidural analgesia1985 · 56 citations
  3. 3THE EFFECT OF CONTINUOUS LUMBAR EPIDURAL ANALGESIA UPON FETAL ACID‐BASE STATUS DURING THE SECOND STAGE OF LABOUR1974 · 50 citations
  4. 4REFLEX RELEASE OF AN OXYTOCIC HORMONE BY STIMULATION OF GENITAL ORGANS IN MALE AND FEMALE SHEEP STUDIED BY A CROSS-CIRCULATION TECHNIQUE1961 · 71 citations
  5. 5Kielland's forceps: association with neonatal morbidity and mortality.1979 · 106 citations