Obstetrics and gynecology
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Obstetrics and gynecology · Mar 2002
Randomized Controlled Trial Clinical TrialA randomized trial of intrapartum analgesia in women with severe preeclampsia.
To estimate whether the cesarean delivery rate differs between women with severe preeclampsia who receive intrapartum epidural analgesia versus patient-controlled intravenous opioid analgesia. ⋯ Compared with patient-controlled intravenous opioid analgesia, intrapartum epidural analgesia did not significantly increase the cesarean delivery rate in women with severe preeclampsia at our level III center, and it provided superior pain relief.
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Obstetrics and gynecology · Mar 2002
Randomized Controlled Trial Multicenter Study Clinical TrialRisk factors for difficult delivery in nulliparas with epidural analgesia in second stage of labor.
To identify risk factors for difficult delivery among nulliparas in the second stage of labor with continuous epidural analgesia, and to develop a multivariable model that is predictive of difficult delivery. ⋯ Our observations concerning maternal characteristics and obstetric variables are consistent with previous observations with the exception of time of induction of the epidural. The predictive model may be useful in defining high-risk populations for subsequent intervention studies designed to assess approaches to reduce difficult delivery.