Is there a link between anesthesia in childbirth and the rate of cesarean delivery

Authors

  • E. V. Grizhimalsky Maternity hospital “Leleka”, Kyiv, Ukraine

Keywords:

childbirth, anesthesia, analgesia, caesarean section, cesarean delivery

Abstract

Since today EA has become widely used in medical practice to alleviate labor pains, doctors have occasionally started to argue about the direct connection between EA, instrumental obstetrics and caesarean section. According to this study, the use of epidural analgesia does not affect the likelihood of instrumental obstetrics and the risk of negative neonatal outcomes. At the same time, EA is directly related to the duration of the first and second generic stage.

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References

Jones L. Pain management for women in labour: an overview of systematic reviews (Review) / Jones L., Othman M., Dowswell T. et al. – Cochrane Libr (3). – 2012.

Declercq E. R. Listening to Mothers II / Declercq E. R., Sakala C., Corry M. P., Applebaum S. // Report of the Second National U.S. Survey of Women’s Childbearing Experiences: conducted January–February 2006 for childbirth connection by Harris Interactive(R) in partnership with Lamaze International J Perinat Educ. – 2007. – N 16 (4). – P. 15–17.

Jouppila R. The effect of segmental epidural analgesia on maternal and foetal acid-base balance, lactate, serum potassium and creatine phosphokinase during labour / Jouppila R., Hollmen A. // Acta Anaesthesiol Scand. – 1976. – N 20. – P. 259–268.

Lederman R. P. Anxiety and epinephrine in multiparous labor: relationship to duration of labor and fetal heart rate pattern / Lederman R. P., Lederman E., Work B., McCann D. S. // Am J Obstet Gynecol. – 1985. – N 153. – P. 870–877.

Levinson G. Effects of maternal hyperventilation on uterine blood flow and fetal oxygenation and acid-base status / Levinson G., Shnider S. M., deLorimier A. A., Steffenson J. L. // Anesthesiology. – 1974. – 40. – P. 340–347.

Shnider S. M. Maternal catecholamines decrease during labor after lumbar epidural analgesia / Shnider S. M., Abboud T., Artal R. et al. // Am J Obstet Gynecol. – 1983. – 147. – P. 13–15.

Halpern S. H. Effect of epidural vs parenteral opioid analgesia on the progress of labor: a meta-analysis / Halpern S. H., Leighton B. L., Ohlsson A. et al.// J Am Med Assoc. – 1998. – N 280. – P.2105–2110.

Leighton B. L. The effects of epidural analgesia on labor, maternal, and neonatal outcomes: a systematic review / Leighton B. L., Halpern S. H. // Am J Obstet Gynecol. – 2002. – N 186. – P. 69–77.

Sharma S. K. Cesarean delivery: a randomized trial of epidural versus patient-controlled meperidine analgesia during labor / Sharma S. K., Sidawi J. E., Ramin S. M. et al. // Anesthesiology. – 1997. – N 87. – P. 487–494.

Sharma S. K. Labor analgesia and cesarean delivery: an individual patient meta-analysis of nulliparous women / Sharma S. K., McIntire D. D., Wiley J., Leveno K. J. // Anesthesiology. – 2004. – N 100. – P. 142–148.

Hasegawa J. Effects of epidural analgesia on labor length, instrumental delivery, and neonatal short-term outcome / Hasegawa J., Farina A., Turchi G. et al. // J Anesth. – 2013. – N 27 (1). – P. 43–47.

Published

2017-12-01

How to Cite

1.
Grizhimalsky EV. Is there a link between anesthesia in childbirth and the rate of cesarean delivery. PMJUA [Internet]. 2017Dec.1 [cited 2021Jan.20];2(4):68-71. Available from: https://painmedicine.org.ua/index.php/pnmdcn/article/view/73

Issue

Section

Clinical thinking