The Use Of Epidural Needles

Epidural anesthesia needles will also increase the demand for synthetic oxytocin (Pitocin) to increase delivery, because it has a negative effect on the release of oxytocin by the delivery woman. Women who give birth with an epidural needle are almost three times more likely to use Pitocin. The combination of epidural anesthesia needles and Pitocin can cause abnormal fetal heart rate (FHR), indicating fetal distress, and significantly increasing the risk of surgical delivery (forceps, vacuum, or cesarean section). In a survey in Australia, approximately half of primiparas who received both epidural anesthesia and pitomycin underwent surgical delivery.

There is controversy regarding the impact of epidural anesthesia on the risk of cesarean section. Various recent comments indicate that the risk has not increased, and the risk has increased by 50%. This risk may be most significant for women whose first baby has an epidural anesthesia.

Please note that the studies used to reach these conclusions are mostly randomized controlled trials in which women who agree to participate are randomly assigned to epidural or non-epidural analgesia. Non-epidural pain relief usually involves the administration of opioids, such as pethidine (pethidine). Many of these studies have the drawback of a high crossover rate-women who were assigned to non-epidural anesthesia but did receive epidural anesthesia, and vice versa. Also, please note that there is no real control-that is, women who did not use any form of painkillers-these studies cannot tell us the effect of epidural anesthesia compared to labor without the use of painkillers.

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