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Early epidurals don't impact operative delivery.(Obstetrics)

OB GYN News

| June 01, 2006 | Worcester, Sharon | COPYRIGHT 2006 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

HOLLYWOOD, FLA. -- Epidural analgesia given in early labor has been shown to have no significant effect on the risk of operative delivery in patients with spontaneous labor, and the same appears to hold true for patients with induced labor, according to data presented at the annual meeting of the Society for Obstetric Anesthesia and Perinatology.

In a series of 796 consecutive women with induced labor who requested early pain relief, the operative delivery rates were similar in those who did and did not receive early labor epidural analgesia (28% and 27%), Dr. Philip E. Hess reported.

Because labor induction is known to be associated with higher operative delivery rates, there was concern that the effects of epidural analgesia in induced labor might be different from its effects in spontaneous labor, Dr. Hess wrote in a poster.

The findings will hopefully put to rest the debate over whether there is a benefit with regard to operative delivery rates with delayed epidurals, Dr. Cynthia A. Wong said during a poster review session that she moderated. Dr. Wong of Northwestern ...

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