HOME >> MEDICINE >> NEWS
Study finds no reason for expectant mothers to shy away from early epidurals

CHICAGO A study published in this week's New England Journal of Medicine by researchers at Northwestern Memorial Hospital refutes the popular belief that getting an epidural early in labor increases a woman's risk of cesarean delivery.

In a study of 750 women, researchers found that getting an epidural when the cervix is less than four centimeters dilated did not increase the cesarean delivery rate and provided significantly better pain relief. "We also found shorter labors in the early epidural group compared to those who received the standard narcotic an injection of hydromorphone (a morphine-like drug) and didn't get the epidural until after four centimeters dilation," says lead author Cynthia Wong, MD, section chief for Obstetric Anesthesiology at Northwestern Memorial Hospital and associate professor of Anesthesiology at Northwestern University's Feinberg School of Medicine. "In addition, the babies whose mothers had early epidurals had a decreased incidence of having a below normal one-minute Apgar score." Apgar scores are a widely used assessment of a newborn's initial condition that factors heart rate, respiration, muscle tone, reflux response and color.

The American College of Obstetricians and Gynecologists recommends that when feasible, obstetric practitioners should delay the administration of epidural anesthesia in women with their first pregnancy until the cervical dilation reaches at least 4 to 5 centimeters and other forms of analgesia should be used until that time. This recommendation was based on studies that found an association between the initiation of epidurals early in labor and an increased cesarean delivery rate. "We hypothesized that the findings of these earlier studies linking epidurals to increased risk of cesarean delivery could be explained by other factors," says Dr. Wong. "For example, asking for an epidural earlier may be a marker for a bigger baby, which causes more pain early in labor and also inc
'"/>

Contact: Amanda Widtfeldt
awidtfel@nmh.org
312-926-2955
Northwestern Memorial Hospital
16-Feb-2005


Page: 1 2

Related medicine news :

1. Study of energy and health in Africa focuses spotlight on charcoal and forest management
2. Study shows promise in identifying kidney failure
3. Study shows patch therapy may be as effective as oral medications
4. Study shows soy is well accepted in school lunches
5. Study finds that coordinating care of chronically ill patients does not increase liability
6. Study provides new estimates of the causes of child mortality worldwide
7. Study finds factors linked to substance use disorder relapse among health care professionals
8. Study finds majority of women willing to accept cervical cancer vaccine for self and children
9. Study shows use of budesonide reduced the risk of asthma related events by 40% in children
10. Study shows risk of cardiac death after radiation for breast cancer has dramatically decreased
11. Study shows acrylamide in baked and fried food does not increase risk of breast cancer in women

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/13/2019)... ... February 13, 2019 , ... American Vision ... in the nation, announced a new addition to their growing list of ophthalmology ... created within a multi-specialty ophthalmology practice. , Dr. Zachary Berbos, MD, ...
(Date:2/13/2019)... ... February 13, 2019 , ... Surgery that moves both jaws ... treatment for obstructive sleep apnea (OSA), resulting in benefits that include improved breathing, daytime ... a new study. , MMA should be regarded as the preferred treatment for patients ...
(Date:2/13/2019)... MONICA, Calif. (PRWEB) , ... February 13, 2019 ... ... of Southern California has joined the esteemed Haute Beauty network. , The ... privileged to present Dr. Christie as a leading Aesthetic surgeon and our newest ...
(Date:2/12/2019)... ... ... Attorney Harry Nelson , a leading expert on America’s healthcare future, a ... to donate $1-million from the online sales of his soon-to-be-released new book, The United ... America in 2019, according to Nelson. , Proceeds will be initially donated to ...
(Date:2/11/2019)... ... 11, 2019 , ... Z-Medica, LLC, a Linden Capital Partners ... appointment of nationally recognized cardiothoracic surgeon and researcher, Vinod Thourani, M.D., to the ... University School of Medicine and the Chairman of Cardiac Surgery for MedStar Heart ...
Breaking Medicine News(10 mins):
(Date:2/13/2019)... (PRWEB) , ... February 13, 2019 , ... Wound Care ... Wound Care EHR software as an app inside their hospital’s EHR, substantially ... Wound Care EHR (electronic health record) pioneer, will soon launch its award-winning software ...
(Date:2/13/2019)... , ... February 13, 2019 , ... ... part of the Public Private Partnership (PPP) between the Department of Health-Abu Dhabi ... the region’s first Health Information Exchange system (HIE), a centralized platform to streamline ...
(Date:2/13/2019)... (PRWEB) , ... February 13, 2019 , ... The Medicus ... of Staff Physician Recruiters (ASPR). “The Medicus Firm has been a vocal and ... Industry stewardship and support of educational programs are part of our DNA and ...
Breaking Medicine Technology:
Cached News: