2023
DOI: 10.1016/j.ajog.2022.06.017
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Modern labor epidural analgesia: implications for labor outcomes and maternal-fetal health

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Cited by 31 publications
(20 citation statements)
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“…In conclusion, we emphasize that labor epidural provides excellent pain relief and should be available to all parturients, especially those with placental insufficiency. The authors present valuable findings, however we believe that parturients should be informed that EDA during labor is not associated consistently with any significant adverse outcome for the parturient or fetus 4 . We should counsel parturients based on causation and not on correlation.…”
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confidence: 93%
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“…In conclusion, we emphasize that labor epidural provides excellent pain relief and should be available to all parturients, especially those with placental insufficiency. The authors present valuable findings, however we believe that parturients should be informed that EDA during labor is not associated consistently with any significant adverse outcome for the parturient or fetus 4 . We should counsel parturients based on causation and not on correlation.…”
mentioning
confidence: 93%
“…We agree that hypotension may be a cause of fetal distress. However, it is well established in the literature 4 that this should never be a reason for emergency delivery. Instead, maternal hypotension should be treated aggressively with fluids and vasopressors 4 .…”
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confidence: 99%
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“…Early identification of the at‐risk fetus, optimization of the labor and delivery process and safe execution of intrapartum interventions, such as EDA, require meticulous research, dialog and teamwork across disciplines. In the interim, expectant mothers should remain confident in choosing EDA, a consistently safe option for both mother and child 21 .…”
mentioning
confidence: 99%
“…Callahan et al . warned against concluding an erroneous causal relationship in retrospective studies on LEA, as it essentially constitutes a post hoc ergo propter hoc fallacy 4 . One could reason that obstetricians might lower their threshold for performing an instrumental vaginal delivery once LEA has been initiated.…”
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confidence: 99%