March 2012. Volume 8. Number 1

Use of epidural analgesia in nulliparous women could increase instrumental labor and cesarean section

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Eriksen LM, Nohr EA, Kjaergaard H. Mode of delivery after epidural analgesia in a cohort of low-risk. Birth. 2011;38:317-26.
Reviewers: Aparicio Sánchez JL1, Carvajal Encina F2.
1Servicio de Pediatría. Hospital Dr. José Molina Orosa. Lanzarote. Las Palmas. España.
2UCIN Hospital de La Serena y Escuela de Medicina Universidad Católica del Norte. La Serena. Elqui. Chile.
Correspondence: José Luis Aparicio Sánchez. Email: japaricio1970@gmail.com
Reception date: 25/01/2012
Acceptance date: 24/02/2012
Publication date: 01/03/2012

Abstract

Authors' conclusion: in nulliparous women of a very low-risk population, use of epidural analgesia for labor pain was associated with higher risks of emergency cesarean section and vacuum extraction.

Reviewers' commentary: limitations of the evidence of a cohort study to evaluate the effectiveness of an intervention and the fact that current evidence suggests an increased risk of instrumental delivery and caesarean section, further studies are needed to address this question.

How to cite this article

Carvajal Encina F, Aparicio Sánchez JL. La analgesia espinal en nulíparas podría aumentar la instrumentalización del parto y las cesáreas. Evid Pediatr. 2012;8:4.

AVC | Critically appraised articles

Eriksen LM, Nohr EA, Kjaergaard H. Mode of delivery after epidural analgesia in a cohort of low-risk. Birth. 2011;38:317-26.
Reviewers: Aparicio Sánchez JL1, Carvajal Encina F2.
1Servicio de Pediatría. Hospital Dr. José Molina Orosa. Lanzarote. Las Palmas. España.
2UCIN Hospital de La Serena y Escuela de Medicina Universidad Católica del Norte. La Serena. Elqui. Chile.
Correspondence: José Luis Aparicio Sánchez. Email: japaricio1970@gmail.com
Reception date: 25/01/2012
Acceptance date: 24/02/2012
Publication date: 01/03/2012

How to cite this article

Carvajal Encina F, Aparicio Sánchez JL. La analgesia espinal en nulíparas podría aumentar la instrumentalización del parto y las cesáreas. Evid Pediatr. 2012;8:4.

References

  1. Anim-Somuah M, Smyth R, Jones L. Epidural versus non-epidural or no analgesia in labour. Cochrane Database Syst Rev. 2011 Dec 7;12:CD000331.
01/03/2012

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