Epidural Anesthesia: A Resource to Use Judiciously
Jackie Tillett ND, CNM

$3.95 		Journal of Perinatal and Neonatal Nursing
September 2005 
Volume 19  Number 3
Pages 207 - 209
 
  PDF Version Available!

ABSTRACT

Tillett, Jackie ND, CNM

Assistant Professor of Clinical, Obstetrics and Gynecology, University of Wisconsin Medical School, Milwaukee Clinical Campus, Milwaukee, Wisc Director, Aurora UW Midwifery Center, Aurora Sinai Medical Center, Milwaukee, Wisc

Epidural anesthesia is widely used on almost every obstetrical unit in the United States. Epidural anesthesia is administered to more than 60% of women in labor and is the most common form of pain relief used by laboring women in the United States. 1,2 , * Physicians and midwives both attend to laboring women with epidural anesthesia, with some midwifery practices having epidural rates up to 75% (Cathy Collins-Fulea, CNM, FACNM, May 1, 2005, written communication † ). Epidurals have been implicated in fetal distress, increasing cesarean birth rates, maternal fever, longer second stage of labor, spinal headache, delayed breast feeding, and an increased cascade of intervention for laboring ...

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