“…Literature Findings: Meta-analyses of RCTs report improved analgesia and a faster onset time (Category A2-B evidence) when CSE local anesthetics with opioids are compared with epidural local anesthetics with opioids, [90][91][92][93][94][95][96] with equivocal findings for maternal satisfaction with analgesia, mode of delivery, hypotension, pruritus, and 1-min Apgar scores (Category A1-E evidence). [90][91][92][93][94][95][96][97][98][99][100][101] Meta-analysis of RCTs report an increased frequency of motor block with CSE (Category A1-H evidence). 90,92,93,96,101 ║║ The Task Force notes that the addition of an opioid to a local anesthetic infusion allows an even lower concentration of local anesthetic for providing equally effective analgesia.…”