Sentences with phrase «increased use of epidurals»

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Homebirth increases the risk of perinatal death and brain damage even though the incidence of epidural use was 5 times higher in the hospital group.
Increasing the length of the second stage of labor to two hours for multiparas, three hours for nulliparas and even longer in certain cases, such as the use of an epidural.
A recent review also found higher rates of jaundice for epidural - exposed babies, which may be related to the increase in instrumental deliveries or to the increased use of Pitocin.85
For the baby, instrumental delivery can increase the short - term risks of bruising, facial injury, displacement of the skull bones, and cephalohematoma (blood clot under the scalp).24 The risk of intracranial hemorrhage (bleeding inside the brain) was increased in one study by more than four times for babies born by forceps compared to spontaneous birth, 25 although two studies showed no detectable developmental differences for forceps - born children at five years old.26, 27 Another study showed that when women with an epidural had a forceps delivery, the force used by the clinician to deliver the baby was almost twice the force used when an epidural was not in place.28
Fever over 100.4 º F (38º C) during labor is five times more likely overall for women using an epidural; 44 this rise in temperature is more common in women having their first babies, and more marked with prolonged exposure to epidurals.45 For example, in one study, 7 percent of first - time mothers laboring with an epidural were feverish after six hours, increasing to 36 percent after 18 hours.46 Maternal fever can have a significant effect on the baby (see below).
However, a reduction in the final CA surge may contribute to the difficulty that women laboring with an epidural can experience in pushing out their babies, and the increased risk of instrumental delivery (forceps and vacuum) that accompanies the use of an epidural (see below).
We know now that epidural anesthesia increases the rate of posterior position at the time of birth from about 4 % (for women who don't choose an epidural in a university birth setting) up to about 13 % when an epidural is used (Lieberman, 2005).
This research may have opened up a further avenue of study in relation to the use of epidural and the resulting increased risk of IV oxytocic medication and how this can have a detrimental affect on the breastfeeding relationship.
As with systemic analgesia, use of opioids in an epidural block increases the risk that your baby will experience a change in heart rate, breathing problems, drowsiness, reduced muscle tone, and reduced breastfeeding.
Use of «low - dose epidurals versus placebos during the pushing stage of labor did not increase duration of pushing» or the need for a C - section, said Wu, who works at Lenox Hill Hospital in New York City.
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