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Literature DB >> 26834442

Epidurals: Do They or Don't They Increase Cesareans?

Abstract

The controversy over whether epidurals increase the risk of cesarean has raged since the 1970s. This article provides a history of of the early observational research designed to answer this question and an in-depth analysis of the most recent randomized control trials. Based on the research, the author concludes that we cannot assure women that epidurals do not increase the risk of cesarean.

Entities: Species

Keywords: cesarean birth; clinical outcomes; complications; evidence-based practice; interventions; labor and birth

Year: 2015 PMID： 26834442 PMCID： PMC4718011 DOI： 10.1891/1058-1243.24.4.209

Source DB: PubMed Journal: J Perinat Educ ISSN： 1058-1243

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References

16 in total

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Authors: Julie Senécal; Xu Xiong; William D Fraser
Journal: Obstet Gynecol Date: 2005-04 Impact factor: 7.661

2. Epidural block or parenteral pethidine as analgesic in labour; a randomized study concerning progress in labour and instrumental deliveries.

Authors: T Philipsen; N H Jensen
Journal: Eur J Obstet Gynecol Reprod Biol Date: 1989-01 Impact factor: 2.435

3. Mode of delivery after epidural analgesia in a cohort of low-risk nulliparas.

Authors: Lena Mariann Eriksen; Ellen A Nohr; Hanne Kjaergaard
Journal: Birth Date: 2011-09-06 Impact factor: 3.689

4. Epidural analgesia in labour and risk of caesarean delivery.

Authors: Melanie Bannister-Tyrrell; Jane B Ford; Jonathan M Morris; Christine L Roberts
Journal: Paediatr Perinat Epidemiol Date: 2014-07-18 Impact factor: 3.980

5. Associated factors and outcomes of persistent occiput posterior position: A retrospective cohort study from 1976 to 2001.

Authors: Yvonne W Cheng; Brian L Shaffer; Aaron B Caughey
Journal: J Matern Fetal Neonatal Med Date: 2006-09

Epidurals: Do They or Don't They Increase Cesareans?

1. Effect of fetal position on second-stage duration and labor outcome.

2. Epidural block or parenteral pethidine as analgesic in labour; a randomized study concerning progress in labour and instrumental deliveries.

3. Mode of delivery after epidural analgesia in a cohort of low-risk nulliparas.

4. Epidural analgesia in labour and risk of caesarean delivery.

5. Associated factors and outcomes of persistent occiput posterior position: A retrospective cohort study from 1976 to 2001.

6. Persistent fetal occiput posterior position: obstetric outcomes.

7. The effect of intrapartum epidural analgesia on nulliparous labor: a randomized, controlled, prospective trial.

Review 8. Pain management for women in labour: an overview of systematic reviews.

Review 9. Epidural versus non-epidural or no analgesia in labour.

10. Obstetric risk indicators for labour dystocia in nulliparous women: a multi-centre cohort study.