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Techniques Using Low-Dose Anesthetics May Replace Traditional Epidural.(for assisted vaginal delivery in childbirth)
2001 AUG 9 - (NewsRx Network) -- Epidural techniques which use low-dose anesthetics reduce the need for assisted vaginal delivery in childbirth, casting doubt over the future use of conventional epidurals, conclude authors of a study in the July 5, 2001, issue of the Lancet.
Epidurals are the most effective form of pain relief during childbirth. But they are associated with increased rates of instrumental vaginal delivery and associated complications, which might be related to poor motor function, which prevents mothers from pushing during labor. New techniques that preserve motor function could reduce obstetric intervention.
Andrew Shennan and Christine MacArthur led a team of investigators who did a randomized, controlled trial to compare two low-dose epidural techniques - combined spinal epidural (injection into the spinal fluid followed by epidural top-ups) and low-dose infusion (epidural given continuously using a pump) - with traditional epidural techniques.
The investigators randomly assigned 1054 women requesting epidural pain relief to traditional epidural, low-dose combined spinal epidural, or low-dose infusion epidural. The primary outcome was mode of delivery; secondary outcomes were progress of labor, efficacy of procedure, and the effect of the type of epidural on the newborn.
The rate of normal vaginal delivery increased (from around 35% to 43%) in both the low-dose combined spinal epidural group and in the low-dose infusion group compared with women given traditional epidural. However, babies whose mothers were given low-dose epidural took ...
- Mobile epidurals: vaginal delivery success. (Pelvic Muscle Strength may be Key).
- Magazine article from: OB GYN News Demott, Kathryn July 15, 2002 700+ words
...epidural have a normal vaginal delivery. The dose of epidural...CSE) or low-dose infusion (LDI). The secondary...likelihood of spontaneous vaginal delivery. Using a modified...rates of spontaneous vaginal delivery. The increased...
- Three pulls, three hours of pushing the limit in operative vaginal delivery:...
- Magazine article from: OB GYN News Boschert, Sherry February 1, 2004 700+ words
...considering the safety of an operative vaginal delivery, the magic number seems to be three...significantly with attempted operative vaginal delivery if the mother has been pushing in...maternal trauma above that of a normal vaginal delivery or cesarean section. The first study...
- Vaginal delivery linked to high incontinence risk: odds of pelvic floor...
- Magazine article from: Family Practice News Johnson, Kate November 1, 2005 700+ words
MONTREAL -- Vaginal delivery is associated with a near twofold...shows an association between vaginal delivery and pelvic floor disorders...to link the trauma caused by vaginal delivery to many of these disorders...
- Chart documentation of informed consent for operative vaginal delivery: is it...
- Magazine article from: Southern Medical Journal Nichols, Catherine Matthews Pendlebury, Laura C. Jennell, Jamie December 1, 2006 700+ words
...a general consent for instrumented vaginal delivery. Documentation of any maternal or...informed consent for instrumented vaginal delivery is inconsistent and should be improved...with the choice of an instrumented vaginal delivery or cesarean section at full dilation...
- Vaginal delivery of a breech baby.(Women's Health Advisor 2005)
- Clinical Reference Systems January 1, 2006 700+ words
...when it is considered safe to allow a vaginal delivery of a breech baby and what your health...problems might occur that could make vaginal delivery unsafe. If the baby's head is not...moving into the birth canal, making a vaginal delivery dangerous or impossible. When is...
- Preterm Breech Delivery: Cesarean vs. Vaginal Delivery.
- Magazine article from: OB/GYN Clinical Alert August 1, 1999 700+ words
...Preterm Breech Delivery: Cesarean vs. Vaginal Delivery Abstract & commentary Synopsis...Netherlands, one center preferring vaginal delivery, while the other favored cesarean...Epidural anesthesia was never used for vaginal delivery nor were episiotomies or forceps routinely...
- In Breech Birth, C-Section Is Better For Fetus Than Vaginal Delivery.(Brief...
- Magazine article from: Family Practice News MOON, MARY ANN March 1, 2001 700+ words
...better with cesarean delivery than with vaginal delivery that the latter should no longer be...vaginal birth in 59 cases, requested vaginal delivery in 29, conversion of the fetus to...women randomly assigned to a planned vaginal delivery, 591 (56.7%) were delivered...
- Operative vaginal delivery strategies may curb risk.(Obstetrics)
- Magazine article from: OB GYN News Boschert, Sherry February 1, 2005 700+ words
...forceps or vacuum extractor during a vaginal delivery seldom is the sole cause of litigation...neonatology, and the law. Operative vaginal delivery can invite litigation when one of...about the potential for operative vaginal delivery before labor starts, said Mr. Sinclitico...
Source: HighBeam Research, Techniques Using Low-Dose Anesthetics May Replace Traditional...