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Clinics in perinatology · Sep 2013
Review Comparative StudyCombined spinal-epidural versus epidural analgesia for labor and delivery.
- Adam D Niesen and Adam K Jacob.
- Department of Anesthesiology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
- Clin Perinatol. 2013 Sep 1;40(3):373-84.
AbstractThe rapid onset of analgesia and improved mobility with combined spinal-epidural (CSE) techniques has been associated with a higher degree of maternal satisfaction compared with conventional epidural analgesia. However, controversy exists in that initiation of labor analgesia with a CSE may be associated with an increased risk for nonreassuring fetal status (ie, fetal bradycardia) and a subsequent need for emergent cesarean delivery. Overall, both epidural and CSE techniques possess unique risk/benefit profiles, and the decision to use one technique rather than the other should be determined based on individual patient and clinical circumstances.Copyright © 2013 Elsevier Inc. All rights reserved.
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