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August 1, 1990Anaesthesia and Intensive Care

Epidural Medication after the Initial Dose: Reflections on Current Methods of Administration during Labour

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Why the study?

What are the relative merits of current methods of epidural drug delivery for additional analgesia during labour?

Population

Women receiving epidural pain relief during labour who require additional epidural analgesia following the…

Design

Review

Authors

PBP. BrownridgeFlinders Medical Centre

Discussion

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Implication

May support maternal control of epidural density for satisfaction; hypothesis-generating, requiring RCTs before practice change.

Structured PICO

What are the relative merits of current methods of epidural drug delivery for additional analgesia during labour?

P
Population
Women receiving epidural pain relief during labour who require additional epidural analgesia following the initial dose
I
Intervention
Current methods of epidural drug delivery for further analgesia (including patient-controlled regimens)
O
Outcome
Patient safety, convenience, flexibility in pain management, and patient satisfaction

Patient satisfaction during labour epidural analgesia may be enhanced by allowing maternal control over the density of neural blockade.

Cite This Study

P. Brownridge (1990) studied this question.

synapsesocial.com/papers/6a89965aa4df84145ecb1985https://doi.org/10.1177/0310057x9001800304
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Also Consider

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

  1. 1An epidural infusion technique for labour1987 · 14 citations
  2. 2Continuous infusion epidural analgesia in obstetrics1986 · 22 citations
  3. 3The Influence of Continuous Epidural Bupivacaine Analgesia on the Second Stage of Labor and Method of Delivery in Nulliparous Women1987 · 125 citations
  4. 4Epidural fentanyl and perineal pain in labour1989 · 38 citations
  5. 5Benefits of Continuous Infusion Epidural Analgesia Throughout Vaginal Delivery1988 · 16 citations