Epidural analgesia associated with low - dose oxytocin augmentation increases cesarean births: a critical look at the external validity of randomized trials.
Not exact matches
Dozier et al (2013) also identified the link between
epidural use and limited breastfeeding duration, but their study was substantial in that they looked at all the contributing, or covariate, factors in the the relationship between
epidural analgesia and breastfeeding including the
associated use of IV fluid and synocinin.
«In the subgroup of women with spontaneous onset of labour and vaginal deliveries, after controlling for other obstetric and demographic factors,
epidural analgesia but not narcotic
analgesia was significantly
associated with reduced breastfeeding duration (adjusted hazard ratio 1.44, 95 % confidence interval 1.04 - 1.99).»
Flint and colleagues suggested that when midwives get to know the women for whom they provide care, interventions are minimised.22 The Albany midwifery practice, with an unselected population, has a rate for normal vaginal births of 77 %, with 35 % of women having a home birth.23 A review of care for women at low risk of complications has shown that continuity of midwifery care is generally
associated with lower intervention rates than standard maternity care.24 Variation in normal birth rates between services (62 % -80 %), however, seems to be greater than outcome differences between «high continuity» and «traditional care» groups at the same unit.25 26 27 Use of
epidural analgesia, for example, varies widely between Queen Charlotte's Hospital, London, and the North Staffordshire NHS Trust.
Discontinuation of
epidural analgesia late in labour for reducing the adverse delivery outcomes
associated with
epidural analgesia.
Furthermore, preferring a birth with midwife - led care — both at home and in hospital - was
associated with lower rates of induced labor and lower rates of
epidural analgesia.