• Am. J. Obstet. Gynecol. · Jul 2004

    Comparative Study

    The effect of early epidural versus early intravenous analgesia use on labor progression: a natural experiment.

    • Anjel Vahratian, Jun Zhang, Jill Hasling, James F Troendle, Mark A Klebanoff, and John M Thorp.
    • Division of Epidemiology, Statistics and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA.
    • Am. J. Obstet. Gynecol. 2004 Jul 1;191(1):259-65.

    ObjectiveThe purpose of this study was to compare the effect of early epidural with the use of early intravenous analgesia on labor progression.Study DesignWe systematically selected singleton, nulliparous term pregnancies with a spontaneous labor and analgesia placement ResultsAfter adjustment had been made for confounders, women in the after period had a slower labor progression only from 4 to 5 cm, compared with those women in the before period. Interestingly, the process of labor admission and epidural analgesia placement, rather than analgesia use per se, appeared to explain most of the slowdown. No significant difference in the rest of the active phase was observed between the 2 groups.ConclusionOur data support recent American College of Obstetricians and Gynecologists guidelines that the restraining use of epidural analgesia at <4 cm of cervical dilation is unnecessary.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…