Zeitschrift für Geburtshilfe und Perinatologie
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Z Geburtshilfe Perinatol · Sep 1990
[Peridural anesthesia and method of delivery. Peridural anesthesia performed by the obstetrician].
In deliveries in epidural analgesia (PDA) there are more obstetrical operations than in deliveries without PDA. We have investigated the delivery mode in relation to the indication of epidural analgesia. If the PDA is done because of prolonged course of labour or because of suspicious fetal heart rate, about 40% of these women deliver spontaneously, in about 35% a cesarean is done, and in about 25% a forceps- or vacuum-extraction is done. ⋯ The increase of operative deliveries in PDA isn't found generally. Epidural analgesia managed by the obstetrician doesn't result in more complications by the method itself, the increase of operative deliveries is found even in clinics where the PDA is carried out by the anesthetist. The possible reasons are discussed.