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- Title
The labour epidural: the basics.
- Authors
Kingsley, Charlotte; McGlennan, Alan
- Abstract
* Labour epidurals provide safe, effective analgesia with minimal side effects to mother and fetus * Knowledge of anatomy and pain pathways are key to providing epidural analgesia to labouring parturients * Consent can be challenging during active labour * Labour epidurals are beneficial in certain circumstances: high probability of emergency operative delivery; patients with predictors of a difficult airway; and medical conditions benefiting from reducing the stress response of labour, e.g. pre-eclampsia * Risk of permanent nerve damage in obstetric epidurals may be as high as 1 in 80,000 * Combined spinal-epidurals (CSE), single-shot spinals (SSS), and dural puncture epidurals (DPE) are alternative neuraxial techniques to epidurals for labour analgesia.
- Subjects
CESAREAN section; DELIVERY (Obstetrics); INFORMED consent (Medical law); LOCAL anesthetics; LUMBAR vertebrae; PATIENT positioning; LABOR pain (Obstetrics); EPIDURAL analgesia; OBSTETRICAL analgesia; EPIDURAL space
- Publication
Update in Anaesthesia, 2019, Vol 34, p26
- ISSN
1353-4882
- Publication type
Article
- DOI
10.1029/WFSA-D-18-00002