Speciality
Spotlight

 




 

Obstetric
& Gynaecology


 

 





Labour Analgesia

   

  • Fogel ST, Shyken JM, Leighton BL, et al (Washington Univ, St Louis; Univ of Toronto; Kennestone Hosp, Marietta, Ga)

    Effect of Epidural vs Parenteral Opioid Analgesia on the Progress of Labor : A Meta-analysis

    Anesth Analg 87:119-123, 1998

        


    The literature review included 10 trials with more than 2300 patients. The risk of cesarean delivery was similar for patients given epidural analgesia and those given parenteral opioid analgesia. First and second labor stages were longer for patients given epidural analgesia. Patient satisfaction and neonatal outcome are better in women receiving epidural analgesia than in women given parenteral analgesia. 

        


    Epidural anesthesia was not associated with a significantly increased incidence of cesarean section or cesarean section for dystocia. The incidence of oxytocin use, prolonged first and second stages of labor, and instrumental delivery but not instrumental delivery for dystocia were significantly greater in the epidural group. The incidence of reduced APGAR scores, use of neonatal naloxone, and complaints of pain and dissatisfaction with analgesia were greater in the opioid
    group.

         

      



 

 

Speciality Spotlight

 

 

Labour Analgesia
   

  • Fogel ST, Shyken JM, Leighton BL, et al (Washington Univ, St Louis; Univ of Toronto; Kennestone Hosp, Marietta, Ga)
    Effect of Epidural vs Parenteral Opioid Analgesia on the Progress of Labor : A Meta-analysis
    Anesth Analg 87:119-123, 1998
        
    The literature review included 10 trials with more than 2300 patients. The risk of cesarean delivery was similar for patients given epidural analgesia and those given parenteral opioid analgesia. First and second labor stages were longer for patients given epidural analgesia. Patient satisfaction and neonatal outcome are better in women receiving epidural analgesia than in women given parenteral analgesia. 
        
    Epidural anesthesia was not associated with a significantly increased incidence of cesarean section or cesarean section for dystocia. The incidence of oxytocin use, prolonged first and second stages of labor, and instrumental delivery but not instrumental delivery for dystocia were significantly greater in the epidural group. The incidence of reduced APGAR scores, use of neonatal naloxone, and complaints of pain and dissatisfaction with analgesia were greater in the opioid group.
         

      

 

By |2022-07-20T16:41:19+00:00July 20, 2022|Uncategorized|Comments Off on Labour Analgesia

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