Sentences with phrase «epidural analgesia»
"Epidural analgesia" is a medical term that means the use of medication to numb pain in a specific area of the body. It is commonly used during childbirth to relieve pain in the lower back and pelvis. The medication is injected into the space around the spinal cord to provide pain relief. Full definition
«Although we found an association between women who experience less pain during labor and lower risk for postpartum depression, we do not know if effective pain control with epidural analgesia will assure avoidance of the condition,» said Dr. Lim.
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In labour and childbirth, 70 % of first time mothers choose epidural analgesia in Irish hospitals.
The Cochrane review could not make any conclusions on the first few hours or days of a neonate's life and the possible side effects of epidural analgesia as none of the research studies being reviewed included any longer term data on neonates.
A Cochrane review found that: «Women who used epidurals were more likely to have a longer delivery (second stage of labour), needed their labour contractions stimulated with oxytocin, experienced very low blood pressure, were unable to move for a period of time after the birth (motor blockage), had problems passing urine (fluid retention) and suffered fever and association between epidural analgesia and instrumental birth.»
Patient - controlled epidural analgesia is currently only available in one - fifth of hospitals in the UK due to the expensive costs of the equipment needed.
Epidural analgesia associated with low - dose oxytocin augmentation increases cesarean births: a critical look at the external validity of randomized trials.
Planned home births were associated with fewer maternal interventions including epidural analgesia, electronic fetal heart rate monitoring, episiotomy, and operative delivery.
A recent study comparing women's choices of pain relief in midwife - led and consultant - led units in Ireland showed that when women were offered other options such as hydrotherapy and transcutaneous electrical nerve stimulation, fewer women chose epidural analgesia [9].
Impact of intrapartum epidural analgesia on breast - feeding duration.Aust N Z J Obstet Gynaecol, 43 (5), 372 - 377.
If epidural analgesia, electronic foetal monitoring or syntocinon is required, transfer to the Specialised Birth Centre will be organised and where possible the same midwife will continue the women's care.
Women having their first baby frequently commented they had been advised or «warned to have epidural» by friends; they were fearful about not being able to access epidural analgesia, stating that they «feel happier with [the] possibility of epidural», or being «terrified not to have [the] epidural».
In the Consortium on Safe Labor study discussed earlier, although the mean and median duration of the second stage differed by 30 minutes, the 95th percentile threshold was approximately 1 hour longer in women who received epidural analgesia than in those who did not (20).
It was evident from this study that many women viewed epidural analgesia as «normal».
They state «Research is needed regarding which pain - relief options women would choose if they were offered a range of choices beyond epidural analgesia or parenteral opioids.»
«We found that certain women who experience good pain relief from epidural analgesia are less likely to exhibit depressive symptoms in the postpartum period.»
Chang ZM, RN, MN, IBCLC, and Heaman MI, RN, Ph.D. «Epidural Analgesia During Labor and Delivery: Effects on the Initiation and Continuation of Effective Breastfeeding.»
Changes in fetal position during labor and their association with epidural analgesia.
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.
Compared with planned hospital births, fewer maternal interventions were associated with planned home births, including epidural analgesia, electronic fetal heart rate monitoring, episiotomy, and operative delivery.
Sarah Buckley has asked and answered this question, and reveals the unintended consequences of numerous widespread practices, including scheduled birth — induced labor or planned cesarean; disturbance and excessive stress during labor; synthetic oxytocin (Pitocin); opioids and epidural analgesia for labor pain; early separation of mother from infant or wrapping the infant in a blanket to be held (i.e., no skin - to - skin contact); breastmilk substitutes, and many more.
Obstetric outcomes and maternal satisfaction in nulliparous women using patient - controlled epidural analgesia.
In many hospitals, epidural analgesia is routine and is provided to more than 90 percent of all women who are in labor in that hospital.»
As epidural analgesia has been shown in randomised trials to reduce the likelihood of a normal vaginal delivery this could contribute to the variation in normal delivery rates seen.28 Indeed, medicalisation of the environment could be the dominant effect in the United Kingdom, over-riding potential benefits of continuity and «knowing your midwife.»
«67 % of the mothers who had laboured with epidural analgesia and 29 % of the mothers who laboured without epidural analgesia reported partial breast feeding or formula feeding (P = 0.003).»
Women without obstetric complications are encouraged to have electronic fetal monitoring and epidural analgesia.
«The problem of «not having enough milk» was more often reported by those who had had epidural analgesia»
«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).»
Epidural analgesia: breast - feeding success and related factors.
Discontinuation of epidural analgesia late in labour for reducing the adverse delivery outcomes associated with epidural analgesia.
A retrospective case - controlled study of the association between request to discontinue second stage labor epidural analgesia and risk of instrumental vaginal delivery.
«Epidural Analgesia During Labor and Delivery: Effects on the Initiation and Continuation of Effective Breastfeeding.»
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.
Preferring a birth with midwife - led care — both at home and in hospital - was associated with lower odds of induced labor (OR 0.51 95 % CI 0.28 - 0.95 respectively OR 0.42 95 % CI 0.21 - 0.85) and epidural analgesia (OR 0.32 95 % CI 0.18 - 0.56 respectively OR 0.34 95 % CI 0.19 - 0.62) compared to preferring a birth with obstetrician - led care.
This could be an explanation for the fact that women who preferred a birth at home — irrespective of their actual place of birth - experienced lower rates of narcotic and epidural analgesia.