How many fingers does the cervix open to require epidural anesthesia?

The earliest studies have shown that epidural anesthesia may prolong labor and increase the chance of caesarean section. Therefore, the internal opinion of the obstetrics and gynecology department at that time was: epidural should be considered only when the cervix is opened more than 5 fingers. However, a comprehensive analysis of the literature found that epidurals did not significantly prolong labor and did not increase the risk of caesarean section. Therefore, the American Association of Obstetricians and Gynecologists and the American Society of Anesthesiologists issued a joint expert opinion in 2004: when choosing an epidural during labor, the pain of the expectant mother is the indicator, and there is no need to wait for the index of how much the cervix is opened.

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