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Obstetrics (Dystocia)

Type of Analgesic Used in Labor Not Associated with Birthing Difficulties

Published in Women's Health Weekly, December 22nd, 1997

Spinal-epidural analgesia does not result in any higher incidence of cesarean section for difficult birth in nulliparous women than continuous lumbar epidural analgesia, researchers have found.

An observation that women delivering their first child appear to have more difficulty (dystocia) when continuous lumbar epidural analgesia is administered led to a study comparing this type of pain relief with combined spinal-epidural analgesia in relation to lower incidence of dystocia.

Dr. Michael P. Nageotte and colleagues at Women's Hospital, Long Beach, California, randomly assigned 761 nulliparous women to receive with the continuous lumbar epidural or...

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