• Der Anaesthesist · Aug 2003

    Review

    [Epidural analgesia during childbirth].

    • D Crass and J Friedrich.
    • Klinik für Anästhesiologie und Operativen Intensivmedizin, Klinikum Augsburg.
    • Anaesthesist. 2003 Aug 1;52(8):727-44; quiz 745-6.

    AbstractEpidural analgesia is the most effective means of pain relief during labor and is considered to be the "gold standard". For sufficient epidural analgesia, a wide range of nerve-block has to cover the segments Th10 to S4. This article includes the pathophysiological background as well as aspects of risk information and informed consent. Practical issues such as the insertion of the epidural catheter, choice of medication and application modes are described. The influence of epidural analgesia on labor, instrumental delivery and rate of caesarean section is discussed.

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