Sentences with phrase «use of epidural analgesia»

It found that births attended by «continuous doula support» — compared to those that weren't — had «lower use of epidural analgesia, less pitocin, fewer mothers developing fever, fewer forceps or vacuum deliveries, and an extremely low number of cesarean deliveries,» making doula support a relatively «risk - free intervention.»

Parity, delayed pushing, use of epidural analgesia, maternal body mass index, birth weight, occiput posterior position, and fetal station at complete dilation all have been shown to affect the length of the second stage of labor (26).

What is not yet clear is the relative contribution to birth outcomes of health professionals» attitudes, continuity of carer, midwife managed or community based care, and implementation of specific practices (such as continuous emotional and physical support throughout labour, use of immersion in water to ease labour pain, encouraging women to remain upright and mobile, minimising use of epidural analgesia, and home visits to diagnose labour before admission to birth centre or hospital).

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.

Not exact matches

Nurse - midwives demonstrated with a high grade level of evidence a lower rate of cesarean sections, lower apgar scores, lower labor augmentation, lower episotomy rates, equivalent low birthrates, lower vaginal operative deliveries, less use of labor analgesia and epidurals, and lower rates of third - and fourth - degree perineal lacerations.

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.

Epidural analgesia was used by 25.4 % (n = 72) of public care users compared with a higher percentage 42.6 % (n = 105) of private and semi-private care users.

The review found that midwife - led care compared to other models of care reduces: preterm births (before 37 weeks) and overall fetal loss and neonatal death before 24 weeks (high - certainty evidence); the use of regional analgesia (epidural / spinal) during labour (high - certainty evidence); and instrumental vaginal births (high - certainty evidence).

We used reliable methods to assess the quality of the evidence and looked at seven key outcomes: preterm birth (birth before 37 weeks of pregnancy); the risk of losing the baby in pregnancy or in the first month after birth; spontaneous vaginal birth (when labour was not induced and birth not assisted by forceps; caesarean birth; instrumental vaginal birth (births using forceps or ventouse); whether the perineum remained intact, and use of regional analgesia (such as epidural).

Epidural analgesia was the most frequently used method of pain relief (33.3 %, n = 177) followed by pethidine and Entonox at 32 % (n = 170)(Table 4).

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.»

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.

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.