Epidural Analgesia During Labor

Although during labor, the use of epidural analgesia is considered safe, its precise information on neonatal and child outcomes is limited. A study published in JAMA Network Open examined the association between these two during the first 1000 days of life.

The present study utilized Scottish National Health Service hospital administrative data of all 435 281 singleton live births in Scotland between January 1, 2007, and December 31, 2016, along with follow-up of the first 1000 days of life.

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‘Association of epidural analgesia during labor with neonatal, childhood outcomes during the first 1000 days of life has been explored by a new study.’

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Mothers with the cephalic presentation of infants and those who delivered vaginally or via unplanned cesarean delivery were also included. The data were investigated between August 1, 2020, and July 23, 2021.

It was found that epidural analgesia was related to reduced spontaneous vaginal deliveries, a higher risk of neonatal resuscitation, and an increased chance of neonatal unit admission.

Risk of a lower Apgar score < 7 at 5 minutes was diminished in epidural analgesia. The study thereby suggests that epidural analgesia during labor is not independently related to adverse neonatal or childhood development outcomes.

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Moreover, associations of epidural analgesia with neonatal admission and resuscitation were probably facilitated by delivery mode.

Source-Medindia

When Self-Administered, Women Used 30 Percent Less Analgesia During Labor
When women administer their own patient-controlled epidural analgesia (PCEA) instead of getting a continuous epidural infusion (CEI) they used less analgesic

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