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Obstetrics

No increase in C-sections when epidural analgesia is given early in labor

Published in Women's Health Weekly, March 10th, 2005

Injecting spinal-epidural analgesia in early labor does not increase cesarean delivery rates and provides better pain relief and a shorter duration of labor than systemic opioid analgesia, anesthesiologists report.

Epidural injections are administered into the space between the wall of the spinal canal and the sheath covering the spinal cord; they anesthetize the abdominal, genital, and pelvic areas. Spinal injections are administered into the fluid surrounding the spinal cord.

Previous research has suggested that epidural analgesia initiated early in labor - when the cervix is dilated less than 4 centimeters - is associated with an increased risk...

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