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December 1, 2001Current Opinion in Obstetrics & Gynecology

Epidural and spinal analgesia and labour

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Why the study?

Does epidural and spinal analgesia affect obstetric outcomes in pregnant women in labour?

Population

Pregnant women in labour

Design

Review

Authors

ATAngeli ThallonKing's College SchoolASAndrew ShennanRoyal College of Obstetricians and Gynaecologists

Discussion

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Implication

Enhances insight into neuraxial analgesia effects; leaves open definitive labor recommendations pending rigorous trials.

Structured PICO

Does epidural and spinal analgesia affect obstetric outcomes in pregnant women in labour?

P
Population
Pregnant women in labour
I
Intervention
Epidural and spinal analgesia
O
Outcome
Obstetric outcome

Recent evidence has significantly advanced knowledge regarding the effects of epidural and spinal analgesia on obstetric outcomes, despite methodological challenges.

Limitations

  • Relative lack of evidence derived from good quality, large randomized trials
  • Ethical and methodological difficulties
  • Abundance of confounding factors

Cite This Study

Thallon et al. (2001) studied this question.

synapsesocial.com/papers/6a86b81ee8199558f7a2340ehttps://doi.org/10.1097/00001703-200112000-00006
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Also Consider

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

  1. 1A survey of epidural analgesia for labour in the United Kingdom1999 · 82 citations
  2. 2Mortality from Peripartum Meningitis2000 · 14 citations
  3. 3A randomised controlled trial of epidural compared with non‐epidural analgesia in labour2001 · 143 citations
  4. 4A Comparison of 0.0625% Bupivacaine with Fentanyl and 0.1% Ropivacaine with Fentanyl for Continuous Epidural Labor Analgesia2001 · 54 citations
  5. 5Fetal heart rate abnormalities after regional analgesia for labor pain: The effect of intrathecal opioids2001 · 80 citations