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Comparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases.

Comparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases. Research Abstract Details 

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  • Comparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases. Abstract Text:

    m miroM Miro,e guaschE Guasch,f gilsanzF Gilsanz,m miroM Miro,e guaschE Guasch,f gilsanzF Gilsanz,m miroM Miro,e guaschE Guasch,f gilsanzF Gilsanz,

    BACKGROUND: Combined spinal-epidural analgesia provides rapid-onset analgesia with minimal motor block, but it is a more invasive technique than epidural analgesia and the risk of complications may be increased. This study compared the safety and effect on delivery of combined spinal-epidural and epidural analgesia in labor. METHODS: A retrospective observational study was performed. Data were collected from 6497 women who received regional analgesia in our tertiary hospital in 2005. The incidence of complications during labor and the day after delivery was compared. The effect on labor outcome with both techniques was also assessed. RESULTS: 1964 received combined spinal-epidural (30.2%) and 4533 epidural analgesia (69.8%). Quality of analgesia was better in the combined spinal-epidural group. Labor outcome was similar in the two groups. Pruritus, paresthesia and back pain were more frequent in the combined spinal-epidural group. No differences were observed in the incidence of accidental dural puncture or post dural puncture headache. CONCLUSIONS: We found that epidural and combined spinal-epidural analgesia were comparable in terms of safety, and had a similar effect on delivery type.

    Comparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases. Publishing Authors By Initials

    m miroM Miro,e guaschE Guasch,f gilsanzF Gilsanz,m miroM Miro,e guaschE Guasch,f gilsanzF Gilsanz,m miroM Miro,e guaschE Guasch,f gilsanzF Gilsanz,

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    Comparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: International journal of obstetric anesthesia

    VOLUME: 17

    Page Numbers: 15-9

    Journal Abbreviation:

    ISSN: 0959-289X

    DAY: 28

    MONTH: Jan

    YEAR: 2008

    Comparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases. Information

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    LANGUAGE: eng

    NlmUniqueID: 9200430

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    Grant and Affiliation Information for Comparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases.

    AFFILIATION: Department of Obstetric Anesthesia, Madrid Autónoma University, Hospital Universitario Maternal La Paz. Madrid, Spain.

    Country: Netherlands

    Netherlands Research PublicationNetherlands Research Publication

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    MEDLINETA: Int J Obstet Anesth

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