04/11/2021
Labour, birth outcomes in nulliparous women and epidural analgesia
This study in Ireland compared labour and birth outcomes between nulliparous women who used or did not use intrapartum epidural analgesia.
Those women who had intrapartum use of epidural analgesia were more likely to experience instrumental delivery via forceps or ventouse extraction, had significantly greater risk for prolonged first and second stages of labour, increased use of and/or indication for IV uterotonics and antibiotic exposure, and higher rates of fever and/or other signs of infection.
Rachel Taylor says: "Given epidural rates amongst first-time birthing mothers in Aotearoa are increasing, particularly in our larger urban centres, the significance of this study cannot be ignored. Focus on alternative methods of pain relief such as hydrotherapy, mindfulness and relaxation techniques need to be explored and promoted in favour of pharmaceutical options.
Furthermore, continued investment into positive health and wellbeing initiatives that address inequity and confer the power of birth back to women should remain a priority."
https://tinyurl.com/57bctu2e
