Sentences with phrase «epidural analgesia for»

Therefore, epidural analgesia for labor may be used as part of TOLAC, and adequate pain relief may encourage more women to choose TOLAC (14, 123) However, epidural analgesia should not be considered necessary.

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.

R. Fernando et al., «Neonatal Welfare and Placental Transfer of Fentanyl and Bupivacaine During Ambulatory Combined Spinal Epidural Analgesia for Labour,» Anaesthesia 52, no. 6 (1997): 517 — 524.

P. Volmanen et al., «Breast - Feeding Problems After Epidural Analgesia for Labour: A Retrospective Cohort Study of Pain, Obstetrical Procedures and Breast - Feeding Practices,» Int J Obstet Anesth 13, no. 1 (2004): 25 — 29.

Not exact matches

He has published guidelines on vaginal breech birth and papers on the negative effect of epidural analgesia on labour, two - step delivery and the over-diagnosis of shoulder dystocia, the limitations of randomized trials for evaluating complex phenomena, the pitfalls of guideline - based care, and the ethics of re-infibulation.

«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.

The odds of receiving individual interventions (augmentation, epidural or spinal analgesia, general anaesthesia, ventouse or forceps delivery, intrapartum caesarean section, episiotomy, active management of the third stage) were lower in all three non-obstetric unit settings, with the greatest reductions seen for planned home and freestanding midwifery unit births (table 4 ⇓).

The proportion of women with a «normal birth» (birth without induction of labour, epidural or spinal analgesia, general anaesthesia, forceps or ventouse delivery, caesarean section, or episiotomy9 10) varied from 58 % for planned obstetric unit births to 76 % in alongside midwifery units, 83 % in freestanding midwifery units, and 88 % for planned home births; the adjusted odds of having a «normal birth» were significantly higher in all three non-obstetric unit settings (table 5 ⇓).

Discontinuation of epidural analgesia late in labour for reducing the adverse delivery outcomes associated with epidural analgesia.

J. A. Thorp et al., «The Effect of Continuous Epidural Analgesia on Cesarean Section for Dystocia in Nulliparous Women,» Am J Obstet Gynecol 161, no. 3 (1989): 670 — 675.

M. C. Klein et al., «Epidural Analgesia Use as a Marker for Physician Approach to Birth: Implications for Maternal and Newborn Outcomes,» Birth 28, no. 4 (2001): 243 — 248.

Nulliparas» preferences for epidural analgesia: Their effects on actual use in labor.

For example, women thought that waiting for up to 3 h for epidural analgesia would be acceptable; however a longer wait would affect their birth experiences (Table For example, women thought that waiting for up to 3 h for epidural analgesia would be acceptable; however a longer wait would affect their birth experiences (Table for up to 3 h for epidural analgesia would be acceptable; however a longer wait would affect their birth experiences (Table for epidural analgesia would be acceptable; however a longer wait would affect their birth experiences (Table 1).

After adjustment for maternal age, lone parent status, income quintile, use of any versus no substances and parity, women in the home birth group were less likely to have epidural analgesia (odds ratio 0.20, 95 % confidence interval [CI] 0.14 — 0.27), be induced, have their labours augmented with oxytocin or prostaglandins, or have an episiotomy.

In a multivariate analysis controlling for maternal age, lone parent status, income quintile, parity or use of any substances (illicit drugs, alcohol or tobacco), women who intended to have home births were significantly less likely to be exposed to induction or augmentation of labour, epidural analgesia, episiotomy or cesarean section (Table 3).

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.»

No evidence suggests that epidural analgesia is a causal risk factor for unsuccessful TOLAC (14, 45, 122).

For example, the Cochrane Review (Anim - Somuah, Smyth and Howell, 2010) on epidural versus non epidural, or no analgesia in labour, outlined three common downsides of epidural:

Funnel plot of comparison: 1 Midwife - led versus other models of care for childbearing women and their infants (all), outcome: 1.1 Regional analgesia (epidural / spinal).

Comparison 1 Midwife - led versus other models of care for childbearing women and their infants (all), Outcome 1 Regional analgesia (epidural / spinal).

«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.

• Demonstrated expertise in monitoring patients» post-surgical vital signs to ensure their stability and wellbeing • Deep insight into operating equipment such as cardiac monitors and pulse oximeters and quickly diagnosing problems and responding promptly • Proficient in handling pain management by ensuring a thorough comprehension of pain medications and safe ways of administering them • Adept at handling patient - controlled analgesia pumps and IVs and epidural anesthesia to ensure patient comfort • Qualified to monitor patients for adverse reactions to anesthesia and pain management medications by employing deep insight into anesthesia and how it affects the human body • Hands - on experience in handling critical care procedures post-surgery to ensure increased patient safety and comfort • Proven ability to manage post-operative pain by administering pain medication and assisting patients recover from the effects of anesthesia • Competent at handling patients with post-operative nausea and vomiting by ensuring that steps are taken to ward off respiratory pneumonia and other life threatening conditions • Unmatched ability to assess patients» conditions in post-surgical environments and implement post-surgical treatment plans to ensure increased chances of patient recovery and comfort