• Obstetrics and gynecology · Jun 2006

    ACOG committee opinion. No. 339: Analgesia and cesarean delivery rates.

    • American College of Obstetricians and Gynecologists Committee on Obstetric Practice.
    • Obstet Gynecol. 2006 Jun 1;107(6):1487-8.

    AbstractNeuraxial analgesia techniques are the most effective and least depressant treatments for labor pain. The American College of Obstetricians and Gynecologists previously recommended that practitioners delay initiating epidural analgesia in nulliparous women until the cervical dilatation reached 4-5 cm. However, more recent studies have shown that epidural analgesia does not increase the risks of cesarean delivery. The choice of analgesic technique, agent, and dosage is based on many factors, including patient preference, medical status, and contraindications. The fear of unnecessary cesarean delivery should not influence the method of pain relief that women can choose during labor.

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