Pain Management Series: Epidurals for Pain Relief during Labor

Are epidurals an effective form of pain relief? What are the risks and side effects?
In this video, we talk all about the use of epidurals during labor.

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Resources:
American College of Obstetricians and Gynecologists (2017). Obstetric analgesia and anesthesia. Practice Bulletin No. 177. Obstet Gynecol; 129:e73 – 89.
American College of Obstetricians and Gynecologists (2019). Obstetric analgesia and anesthesia. Practice Bulletin No. 209. Obstet Gynecol; Vol. 133, No. 3:e208-e225.
American Society of Anesthesiologists (ASA). Types of Pain Relief in Labor and Delivery. Accessed online on October 2, 2017.
Anim-Somuah, M., Smyth, R. M., and Jones, L. (2011). Epidural versus non-epidural or no analgesia in labour. Cochrane Database Syst Rev(12), CD000331.
Chaillet, N., Belaid, L., Crochetière, C., et al. (2014). Nonpharmacologic approaches for pain management during labor compared with usual care: a meta-analysis. Birth, 41(2), 122-137.
D’Angelo, R., Smiley, R. M., Riley, E. T., et al. (2014). Serious complications related to obstetric anesthesia: the serious complication repository project of the Society for Obstetric Anesthesia and Perinatology. Anesthesiology, 120(6), 1505-1512.
Hawkins, J. L., Chang, J., Palmer, S. K., Gibbs, C. P., & Callaghan, W. M. (2011). Anesthesia-related maternal mortality in the United States: 1979-2002. Obstet Gynecol, 117(1), 69-74.
NHS Choices. (2017). Epidural risks and side effects. Accessed online on October 2, 2017.
NHS Choices. (2017). Pain relief in labor. Accessed online on October 2, 2017.
Nucleus Medical Media (2009). Video: Epidural & Spinal Anesthesia. Accessed online on October 2, 2017.
Shipley, C. (2013). Video: Epidural Spinal Anesthesia. Accessed online on October 2, 2017.
Shnider, S. M., Abboud, T. K., Artal, R., et al. (1983). Maternal catecholamines decrease during labor after lumbar epidural anesthesia. AJOG, 147(1):13-15.
Simmons, S.W., Taghizadeh, N., Dennis, A.T., et al. (2012). Combined spinal-epidural versus epidural analgesia in labour. Cochrane Database of Systematic Reviews, Issue 10. Art. No.: CD003401.

Видео Pain Management Series: Epidurals for Pain Relief during Labor канала Evidence Based Birth