Neuraxial analgesia: a review of its effects on the outcome and duration of labor

Korean journal of anesthesiology
Hoon Jung, Kyung-Hwa Kwak

Abstract

Labor pain is one of the most challenging experiences encountered by females during their lives. Neuraxial analgesia is the mainstay analgesic for intrapartum pain relief. However, despite the increasing use and undeniable advantages of neuraxial analgesia for labor, there have been concerns regarding undesirable effects on the progression of labor and outcomes. Recent evidence indicates that neuraxial analgesia does not increase the rate of Cesarean sections, although it may be associated with a prolonged second stage of labor and an increased rate of instrumental vaginal delivery. Even when neuraxial analgesia is administered early in the course of labor, it is not associated with an increased rate of Cesarean section or instrumental vaginal delivery, nor does it prolong the labor duration. These data may help physicians correct misconceptions regarding the adverse effects of neuraxial analgesia on labor outcome, as well as encourage the administration of neuraxial analgesia in response to requests for pain relief.

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Citations

Mar 31, 2015·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Yiyang LiHongmei Xu
Apr 25, 2017·Biological Research for Nursing·Antonio Herrera-GómezConcepción Ruiz
Aug 8, 2018·The Journal of Obstetrics and Gynaecology Research·Yang ZhangLiang-Tu Hui
Apr 25, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Hany SaadEmad Salah

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Methods Mentioned

BETA
Cesarean
Cesarean sections
Cesarean section

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