Why the study?
Does an epidural infusion technique controlled by midwives improve analgesia and workload compared to conventional top-up epidurals in women in labour?
Population
Women in labour (n=30 in the infusion group)
Comparison
Epidural infusion technique allowing midwives to… vs Conventional top-up epidurals
Design
Cohort
Authors
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May support midwife-controlled infusions to ease workload with comparable analgesia; leaves open whether higher bupivacaine exposure justifies adoption pending RCTs.
Does an epidural infusion technique controlled by midwives improve analgesia and workload compared to conventional top-up epidurals in women in labour?
A midwife-controlled epidural infusion technique provides comparable analgesia and reduces workload compared to conventional top-ups, though it increases bupivacaine dosage.
Gaylard et al. (1987) studied this question.
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