Sentences with phrase «with epidural analgesia»

«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.

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

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.

«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 ⇓).

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.

R. Jouppila et al., «Maternal and Umbilical Venous Plasma Immunoreactive Beta - Endorphin Levels During Labor With and Without Epidural Analgesia,» Am J Obstet Gynecol 147, no. 7 (1983): 799 — 802.

Epidurals significantly interfere with some of the major hormones of labor and birth, which may explain their negative effect on the processes of labor.6 As the World Health Organization comments, «epidural analgesia is one of the most striking examples of the medicalization of normal birth, transforming a physiological event into a medical procedure.»

Epidural analgesia associated with low - dose oxytocin augmentation increases cesarean births: a critical look at the external validity of randomized trials.

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.

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».

I have heard first - hand stories of women being denied epidurals, lied to about the effects of epidural analgesia, and not being provided with proper informed consent about the risks of going to 42 weeks at her 41 week appointment (as in, the mother wasn't told anything that was in the College of Midwives» sample consent document about increased risk of stillbirth).

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.

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.»

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.

• 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