• Clinics in perinatology · Sep 2013

    Review Comparative Study

    Combined 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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