Not exact matches
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.