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The effect of epidural analgesia on labour progress and mode of delivery

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  15 January 2010

James A Thorp  and
Peter E Nielsen
James A Thorp*
Affiliation:
St. Luke's Perinatal Center and University of Missouri, Kansas City, Missouri, United States of America
Peter E Nielsen
Affiliation:
University of Texas, Houston, Texas, United States of America
*
James A Thorp MD, St. Luke's Perinatal Center, St. Luke's Hospital, 4400 Wornall Road, Kansas City, Missouri, 64111, United States of America
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Extract

The use and method of intrapartum obstetric analgesia has remained controversial since the late 16th Century. In 1591, during the reign of James, VI, Eufame MacCalzean (a Scottish midwife) was the first to attempt pain relief during labour and childbirth. At that time, the provision of pain relief during labour was an unacceptable medical practice due mainly to religious and social objections. Because of these objections, and historical accounts that claimed the midwife had consulted with a witch during the delivery, both MacCalzean and the midwife were found guilty of witchcraft and subsequently executed.

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Type
Research Article
Information
Fetal and Maternal Medicine Review , Volume 8 , Issue 1 , February 1996 , pp. 29 - 55
Copyright
Copyright © Cambridge University Press 1996

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References

1Hendricks, CH, Brenner, WE, Kraus, G. The normal cervical dilation pattern in late pregnancy and labor. Am J Obstet Gynecol 1970; 106: 1065.CrossRefGoogle Scholar
2Friedman, EA. Labor: clinical evaluation and management. Second edition New York: Appleton-Century-Crofts, 1978.Google Scholar
3Philpott, RH, Castle, WM. Cervicographs in the management of labour in primigravidae. I. The alert line for detecting abnormal labor. J Obstet Gynaecol Br Commonw 1972; 79: 592–.CrossRefGoogle Scholar
4Jouppila, R, Jouppila, P, Karinen, JM et al. Segmental epidural analgesia in labor: related to the progress of labour, fetal malposition and instrumental delivery. Acta Obstet Gynecol Scand 1979; 58: 135–39CrossRefGoogle Scholar
5Poore, M, Foster, JC. Epidural and no epidural anaesthesia: differences between mothers and their experience of birth. Birth 1985; 12: 205–12CrossRefGoogle ScholarPubMed
6Diro, M, Beydoun, SN. Segmental epidural analgesia in labor: a matched control study. J Nad Med Assoc 1985; 78: 569–573Google Scholar
7Thorp, JA, Parisi, VM, Boylan, PC, Johnston, DA. The effect of continuous epidural analgesia on cesarean section for dystocia in nulliparous women. Am J Obstet Gynecol 1989; 161: 670–75.CrossRefGoogle ScholarPubMed
8Kilpatrick, SJ, Laros, RK. Characteristics of normal labor. Obstet Gynecol 1989; 74: 85–87Google ScholarPubMed
9Thorp, JA, Eckert, LO, Ang, MS, Johnston, DA, Peaceman, AM, Parisi, VM. Epidural analgesia and cesarean section for dystocia: risk factors in nulliparas. Am J Perinatol 1991; 8: 402–10CrossRefGoogle ScholarPubMed
10Lurie, S, Matzkel, A. Epidural anesthesia shortens duration of labor in singleton vertex presentation spontaneous delivery. Asia-Oceania J Obstet Gynaecol 1991; 17: 203–205CrossRefGoogle ScholarPubMed
11Cammu, H, Verlaenen, H, Amy, JJ, De Koster, K, Derde, MP, Buekens, P. Epidural analgesia in active management of labour. Acta Obstet Gynecol Scand 1994; 73: 235–39CrossRefGoogle Scholar
12Robinson, JO, Rosen, M, Evans, JM, Revill, SI, David, H, Rees, GAD. Maternal opinion about analgesia for labour. A controlled trial between epidural block and intramuscular pethidine combined with inhalation. Anaesthesia 1980; 35: 1173–81CrossRefGoogle ScholarPubMed
13Philipsen, T, Jensen, NH. Epidural block or parenteral pethidine as analgesic in labor; a randomized study concerning progress in labor and instrumental deliveries. Eur J Obstet Gynecol Reprod Biol 1989; 30: 27–33CrossRefGoogle ScholarPubMed
14Thorp, JA, Ju, DH, Albin, RM, McNitt, J, Meyer, BA, Cohen, GR, Yeast, JD. The effect of intrapartum epidural analgesia on nulliparous labor: a randomized prospective trial. Am J Obstet Gynecol 1993; 169: 851–58.CrossRefGoogle Scholar
15Ramin, SM, Gambling, DR, Lucas, MJ, Sharma, SK, Sidawi, JE, Leveno, KJ. Randomized trial of epidural versus intravenous analgesia during labor. Obstet Gynecol 1995; 86 783–89.CrossRefGoogle ScholarPubMed
16Petterson, CM, Saunders, NSG, Wadsworth, J. The characteristics of the second stage of labour in 25069 singleton deliveries in the North West Thames Health Region, 1988. Br J Obstet Gynaecol 1992; 99: 377–80.CrossRefGoogle Scholar
17Newton, ER, Schroeder, BC, Knape, KG, Bennett, BL. Epidural analgesia and uterine function. Obstet Gynecol 1995; 85: 749–55CrossRefGoogle ScholarPubMed
18Johnson, S, Rosenfeld, JA. The effect of epidural anesthesia on the length of labor. J Fam Pract 1995; 40: 244–47CrossRefGoogle ScholarPubMed
19Chestnut, DH, Vandewalker, GE, Owen, CL, Bates, JN, Choi, WW. The influence of continous epidural bupivacaine analgesia on the second stage of labor and method of delivery in nulliparous women. Anesthesiology 1987; 66: 774–80.CrossRefGoogle Scholar
20Lurie, S, Feinstein, M, Blickstein, I, Caspit, B, Matzkel, A. Safe epidural anesthesia performed during labor by an obstetrician. Int J Gynecol Obstet 1991; 34: 229–233.CrossRefGoogle ScholarPubMed
21Jouppila, R, Hollmen, A. The effect of segmental epidural analgesia on maternal and foetal acid-base balance, lactate, serum potassium, and creatinine phosphokinase during labor. Acta Anaesth Scand 1976; 20: 259–68CrossRefGoogle Scholar
22Jouppila, R, Jouppila, P, Moilanen, K, Parkarinen, A, Hollimen, A. The effect of segmental epidural analgesia on maternal prolactin during labour. Br J Obstet Gynaecol 1980; 87: 234–38CrossRefGoogle ScholarPubMed
23Ryhanen, P, Jouppila, R, Lanning, M, Jouppila, P, Hollmen, A.Kouvalainen, K. Effect of segmental epidural analgesia on changes in peripheral blood leucocyte counts, lymphocyte sub-populations, and in vitro transformation in healthy parturients and their newborns. Gynecol Obstet Invest 1984; 17: 202–207CrossRefGoogle Scholar
24Chestnut, DH, Bates, JN, Choi, WW. Continuous infusion epidural analgesia with lidocaine: efficacy and influence during the second stage of labor. Obstet Gynecol 1987; 69: 323–27.Google ScholarPubMed
25Chestnut, DH, Laszewski, LJ, Pollack, KL, Bates, JN, Manago, NK, Choi, WW. Continuous epidural infusion of 0.0625% bupivacaine-0.0002% fentanyl during the second stage of labor. Anesthesiology 1990; 72: 613–18CrossRefGoogle ScholarPubMed
26Hoult, IJ, MacLennan, AH, Carrie, LES. Lumbar epidural analgesia in labour: relation to fetal malposition and instrumental delivery. Br Med J 1977; 1: 14–16CrossRefGoogle ScholarPubMed
27Studd, JWW, Crawford, JS, Duignan, NM, Rowbotham, CJ, Hughes, AO. The effect of lumbar epidural analgesia on the rate of cervical dilatation and the outcome of labour of spontaneous onset. Br J Obstet Gynaecol 1980; 87: 1015–21.CrossRefGoogle ScholarPubMed
28Thorburn, J, Moir, DD. Extradural analgesia: the influence of volume and concentration of bupivacaine on the mode of delivery, analgesic efficacy, and motor block. Br J Anaesth 1981; 53: 933–39CrossRefGoogle ScholarPubMed
29Walton, P, Reynolds, F. Epidural analgesia and instrumental delivery. Anaesthesia 1984; 39: 218–23.CrossRefGoogle ScholarPubMed
30Kaminiski, HM, Stafl, A, Aiman, J. The effect of epidural analgesia on the frequency of instrumental obstetric delivery. Obstet Gynecol 1987; 69: 770–73Google Scholar
31Cox, SM, Bost, JE, Faro, S, Carpenter, RJ. Epidural anesthesia during labor and the incidence of forceps delivery. Tex Med 1987; 83: 45–47Google ScholarPubMed
32Neuhoff, D, Burke, S, Porreco, RP. Cesarean birth for failed progress in labor. Obstet Gynecol 1989; 73: 915–20.Google ScholarPubMed
33Eakes, M. Economic considerations for epidural anesthesia in childbirth. Nursing economics 1990; 8: 329–32Google ScholarPubMed
34Peacemen, AM, Lopez-Zeno, JA, Minogue, JP, Socol, ML. Factors that influence route of delivery - active versus traditional labor management. Am J Obstet Gynecol 1993; 169: 940–44.CrossRefGoogle Scholar
35Bright, DA. Epidural analgesia for labor in a community hospital. Fam Prac Res J 1993; 13: 261–65.Google Scholar
36Hawkins, JL, Hess, KR, Kubicek, MA, Joyce, TH, Morrow, DH. A reevaluation of the association between instrument delivery and epidural analgesia. Regional Anesthesia 1995; 20:50–56Google ScholarPubMed
37Hueston, WJ, Applegate, JA, Mansfield, CJ.King, DE, McClaflin, RR. Practice variations between family physicians and obstetricians in the management of low-risk pregnancies. J Fam Practice 1995; 40: 345–351.Google ScholarPubMed
38Ploeckinger, B, Ulm, MR, Chalubinski, K, Gruber, W. Epidural anaesthesia in labor; influence on surgical delivery rates, intrapartum fever and blood loss. Gynecol Obstet Invest 1995; 39: 24–27CrossRefGoogle ScholarPubMed
39Lieberman, E, Cohen, A, Lang, JM, D Agostino, R, Datta, S, Frigoletto, FE. The association of epidural anesthesia with cesarean section in low risk women. Am J Obstet Gynecol 1995; 172: 276.Google Scholar
40Niv, D, Ber, A, Rudiek, V, Keykin, Y, David, MP, Geller, E. Mode of vaginal delivery and epidural analgesia. Isr J Med Sci 1988; 24: 80–83Google ScholarPubMed
41Chestnut, DH, Vincent, RD Jr, McGrath, JM, Choi, WW, Bates, JN. Does early administration of epidural analgesia affect obstetric outcome in nulliparous women who are receiving intravenous oxytocin? Anesthesiology 1994; 80: 1193–1200CrossRefGoogle ScholarPubMed
42Chestnut, DH, McGrath, JM, Vincent, RD Jr, Penning, DH, Choi, WW, Bates, JN et al. Does early administration of epidural analgesia affect obstetric outcome in nulliparous women who are in spontaneous labor? Anesthesiology 1994; 80: 1201–208CrossRefGoogle ScholarPubMed
43Lysak, SZ, Eisenach, JC, Dobson, CE. Patient-controlled epidural analgesia during labor: a comparison of three solutions with a continuous infusion control. Anesthesiology 1990; 72: 44–49CrossRefGoogle ScholarPubMed
44Vertommen, JD, Vandermeulen, E, Aken, HV, Vaes, L, Soetens, M, Steenberge, AV et al. The effects of the addition of sufentanil to 0.125% bupivacaine on the quality of analgesia during labor and on the incidence of instrumental deliveries. Anesthesiology 1991; 74: 806–14CrossRefGoogle ScholarPubMed
45Chestnut, DH. Epidural anesthesia and instrumental vaginal delivery. J Anesthesiology 1991; 74: 805–808CrossRefGoogle ScholarPubMed
46Butler, J, Abrams, B, Parker, J, Roberts, JM, Laros, RK. Supportive nurse-midwife care is associated with a reduced incidence of cesarean section. Am J Obstet Gynecol 1993; 168: 1407–13.CrossRefGoogle ScholarPubMed
47Davis, LG, Riedmann, GL, Sapiro, M, Minogue, JP, Kazer, RR. Cesarean section rates is low-risk private patients managed by certified nurse-midwives and obstetricians. Journal of Nurse-Midwifery 1994; 39: 91–97CrossRefGoogle ScholarPubMed
48Gribble, RK, Meir, PR. Effect of epidural analgesia on the primary cesarean rate. Obstet Gynecol 1991; 78: 231–34Google ScholarPubMed
49Chandler, CJ, Davidson, BA. The influence of lumbar epidural analgesia in labor on mode of delivery. Int J Gynaecol Obstet 1982; 20: 353–56.CrossRefGoogle ScholarPubMed
50McNeill, HW, Wilson, PL. Obstetric use of continuous epidural block in a private community hospital: review of 500 cases. South Med J 1981; 74: 941–44CrossRefGoogle Scholar
51Thorp, JA, Meyer, BA, Cohen, GR, Yeast, JD, Hu, D.Epidural analgesia in labor and cesarean delivery for dystocia. Obstet Gynecol Survey 1994; 49: 362–69CrossRefGoogle ScholarPubMed
52Morton, SC, Williams, MS, Keeler, EB, Gambone, JC, Kahn, KL. Effect of epidural analgesia for labor on the cesarean delivery rate. Obstet Gynecol 1994; 83 1045–52.CrossRefGoogle ScholarPubMed
53Thorp, JA, McNitt, J: Epidural analgesia in labor. Birth 1990; 17: 157–62.CrossRefGoogle Scholar
54Chestnut, DH. Epidural analgesia and cesarean section for dystocia. Am J Obstet Gynecol 1990; 163: 247–49.CrossRefGoogle ScholarPubMed
55Stavrou, C, Hofmeyr, FGJ, Boezaart, AP. Prolonged fetal bradycardia during epidural analgesia. Incidence, timing and significance. S Afr Med J 1990; 77: 66–68.Google ScholarPubMed
56Umstad, MP, Ross, A, Rushford, DD, Permezel, M. Epidural Analgesia and fetal heart rate abnormalities. Aust NZ J Obstet Gynaecol 1993; 33: 269–72.CrossRefGoogle ScholarPubMed
57Murphy, KW, Russell, V, Collins, A, Johnson, P. The prevalence, aetiology and clinical significance of pseudo-sinusoidal fetal heart rate patterns in labour. Br J Obstet Gynaecol 1991; 98: 1093–101.CrossRefGoogle ScholarPubMed
58Olah, KSJ, Gee, H. Epidural analgesia - a cause of transient impairment of the utero-placental circulation? Br J Obstet Gynaecol 1991; 98: 1174–184.CrossRefGoogle ScholarPubMed
59Baumann, H, Alon, E, Atanassoff, P, Pasch, T, Huch, A, Huch, R. Effect of epidural anesthesia for caesarean delivery on maternal femoral arterial and venous, uteroplacental and umbilical blood flow velocities and waveforms. Obstet Gynecol 1990; 75: 194–99.Google ScholarPubMed
60Roberts, SE, Leveno, KJ, Sidawi, JE, Lucas, MJ, Kelly, MA. Fetal acidemia associated with regional anesthesia for elective cesarean delivery. Obstet Gynecol 1995; 85: 79–83.CrossRefGoogle ScholarPubMed
61Shyken, JM, Smeltzer, JS, Baxi, LV, Blakemore, KJ, Ambrose, SE, Petrie, RH. A comparison of the effect of epidural, general and no anesthesia on funic acid-base values by stage of labor and type of delivery. Am J Obstet Gynecol 1990; 163: 802–807.CrossRefGoogle ScholarPubMed
62Centers for Disease Control and Prevention. Rates of cesarean delivery - United States, 1991. MMWR Morb Mort Wkly Rep 1993; 42: 285–89.Google Scholar
63Kadar, N, Cruddas, M, Campbell, S. Estimating the probability of spontaneous delivery conditional on time spent in the second stage. Br J Obstet Gynaecol 1986; 93: 568–76.CrossRefGoogle ScholarPubMed
64Macaulay, JH, Bond, K, Steer, PJ. Epidural analgesia in labor and fetal hyperthermia. Obstet Gynecol 1992; 80: 665–69.Google ScholarPubMed
65Vinson, DC, Thomas, R, Kiser, T. Association between epidural analgesia during labor and fever. J Fam Prac 1993; 36: 617–22.Google ScholarPubMed
66Kenneil, J, Klaus, M, McGrath, S, Robertson, S, Kinkley, C. Continuous emotional support during labor in a US Hospital. JAMA 1991; 265: 2197–202.CrossRefGoogle Scholar
67Margono, F, Minkoff, H, Chan, E: Intrauterine pressure wave characteristics of the upper and lower uterine segments in parturients with active phase arrest. Obstet Gynecol 1993; 81: 481–85.Google ScholarPubMed
68Nielsen, P, Abouleish, E, Parisi, V. The effect of epidural analgesia on intrauterine pressure waves in the upper and lower segments during active phase nulliparous labor. Am J Obstet Gynecol 1995; 172: 362.Google Scholar
69Goodfellow, CF, Hull, MGR, Swaab, DF, Dogterom, J, Buijs, RM. Oxytocin deficiency at delivery with epidural analgesia. Br J Obstet Gynaecol 1983; 90: 214–19.CrossRefGoogle ScholarPubMed
70Saunders, NJ, Spiby, H, Gilbert, L, Fraser, RB, Hall, JM, Mutton, PM et al. Oxytocin infusion during second stage of labour in primiparous women using epidural analgesia: a randomized double blind placebo controlled trial. Br Med J 1989; 299: 1423–26.CrossRefGoogle Scholar
71Soliman, SRH, Burrows, RF. Cesarean section: analysis of the experience before and after the National Consensus Conference on aspects of cesarean birth. Can Med Assoc J 1993; 148: 1315–27.Google ScholarPubMed
72Macer, JA, Macer, CL, Chan, LS. Elective induction versus spontaneous labor: a retrospective study of complications and outcome. Am J Obstet Gynecol 1992; 166: 1690–96.CrossRefGoogle ScholarPubMed
73How, K, Foley, M, Stronge, J. Nulliparous caesarean section in the home of active management of labour. Aust NZ Obstet Gynaecol 1995; 35 12–15.CrossRefGoogle ScholarPubMed
74Thorp, JA. Malpresentations and special situations. In: Creasy, RK, Boylan, PC eds, Labor and delivery. Boston: Blackwell Scientific Publications Inc., 1996: In press.Google Scholar
75Nguyen, TV, Dinh, TV, Suresh, MS, Kinch, RAH, Anderson, GD. Vaginal birth after cesarean section at the University of Texas. J Reprod Med 1992; 37: 880–82.Google ScholarPubMed
76Sakala, EP, Kaye, S, Murray, RD, Munson, LJ. Epidural analgesia: effect on the likelihood of a successful trial of labor after cesarean section. J Repród Med 1990; 35: 886–90.Google ScholarPubMed
77Chadha, YC, Mahmood, TA, Dick, MJ, Smith, NC, Campbell, DM, Templeton, A. Breech delivery and epidural analgesia. Br J Obstet Gynaecol 1992; 99: 96–100.CrossRefGoogle ScholarPubMed
78Bogod, D. Advances in epidural analgesia for labour: progress versus prudence. Lancet 1995; 345: 1129–30.CrossRefGoogle ScholarPubMed
79Crawford, JS. Some maternal complications of epidural analgesia for labour. Anaesthesia 1985; 40: 1219–25.CrossRefGoogle ScholarPubMed
80Crowhurst, JA. Epidural blockade in obstetrics -How safe? Med J Aust 1992; 157: 220–22.CrossRefGoogle ScholarPubMed
81Jensen, JG, Lambert-Jensen, PH. Complications of epidural bupivacaine analgesia in vaginal labor. Ugeskr Laeger 1994; 156: 1779–86.Google ScholarPubMed
82Saunders, NJ, Paterson, CM, Wadsworth, J. Neonatal and maternal morbidity in relation to the length of the second stage of labour. Br J Obstet Gynaecol 1992; 99: 381–85.CrossRefGoogle Scholar
83Lopez-Zeno, JA, Peaceman, AM, Adashek, JA, Socol, ML. A controlled trial of a program for the active management of labor. N Engl J Med 1992; 326: 4450–54.CrossRefGoogle ScholarPubMed
84Frigoletto, FD, Lieberman, E, Lang, JM, Cohen, A, Barss, V, Ringer, S et al. A clinical trial of active management of labor. N Eng J Med 1995; 333: 745–50.CrossRefGoogle ScholarPubMed
85MacArthur, C, Lewis, M, Knox, EG, Crawford, JS. Epidural anaesthesia and long term backache after childbirth. Br Med J 1990; 301: 9–12.CrossRefGoogle ScholarPubMed
86Russell, R, Groves, P, Taub, N, O Dowd, J, Reynolds, F. Assessing long term backache after childbirth. Br Med J 1993; 306: 1299–303.CrossRefGoogle ScholarPubMed
87Thorp, JA, Hu, DH, Albin, RM, Meyer, BA, Cohen, GR, Yeast, JD et al. Reply to letters to the editor regarding the effect of intrapartum epidural analgesia on nulliparous labor: a randomized prospective trial. Am J Obstet Gynecol 1994; 171: 1396–410.Google Scholar
88Chalmers, I. Ethics, clinical research and clinical practice in obstetric anaesthesia. Lancet 1992; 339: 498.CrossRefGoogle ScholarPubMed
89Lurie, S. Patient-controlled epidural anesthesia during labor may be hazardous (letter). Anesthesiology 1990; 73: 789.CrossRefGoogle Scholar