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Leighton BL, Halpern SH. The effects of epidural analgesia on labor, maternal, and neonatal outcomes: a systematic review. Am J Obstet Gynecol 2002; 186(suppl):S69-77.
* BACKGROUND Epidural analgesia effectively relieves labor pain, but questions persist about possible adverse effects of epidurals on labor, the mother, and the neonate. This meta-analysis compared the impact of epidural analgesia with parenteral opioids on birth outcomes.
* POPULATION STUDIED A total of 4721 women from 16 studies were identified. The participants were nulliparous and multiparous women with uneventful pregnancies undergoing spontaneous and induced labor. Thus, the subjects are likely to be similar to those seen by…