Outcomes of epidural anesthesia in low-risk obstetrical cases

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Publication Type thesis
School or College School of Medicine
Department Family & Preventive Medicine
Author Schussman, Lee Carl
Title Outcomes of epidural anesthesia in low-risk obstetrical cases
Date 1981-08
Description The use of epidural anesthesia in obstetrics has increased markedly in the last decade, and some authorities are now stating that epidural block may be the delivery method of choice for most women. In spite of this growth in popularity, no studies have been reported which deal with the outcomes of epidural anesthesia in low-risk obstetrical cases. A retrospective cohort study of factors associated with epidural anesthesia in a low-risk obstetrical population was performed. Epidural anesthetics were administered by obstetrical anesthesiologists and patients were monitored by nurses experienced with epidural anesthesia. Although retrospective studies cannot establish cause and effect relationships, it was found, when compared to non-epidural deliveries, that epidural anesthesia deliveries were associated with more inductions of labor, lengthened times of the stages of labor, higher use of low forceps for deliveries, increased use of and greater amounts of oxytocin, increased use of the fetal heart monitor, and greater total costs. Thus, although epidural anesthesia was observed in general to be a very safe procedure, three of these variables (higher use of low forceps, increased use of oxytocin, and greater total costs) may be of some clinical importance and should be considered by both the delivering physician and the patient when deciding on a type of obstetrical anesthesia.
Type Text
Publisher University of Utah
Subject Cost-Benefit Analysis; Postpartum Hemorrhage
Subject MESH Anesthesia, Epidural; Anesthesia, Obstetrical; Outcome and Process Assessment (Health Care)
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "Outcomes of epidural anesthesia in low-risk obstetrical cases." Spencer S. Eccles Health Sciences Library. Print version of "Outcomes of epidural anesthesia in low-risk obstetrical cases." available at J. Willard Marriott Library Special Collection. RD 14.5 1981 S38.
Rights Management © Lee Carl Schussman.
Format Medium application/pdf
Format Extent 475,557 bytes
Identifier undthes,4833
Source Original: University of Utah Spencer S. Eccles Health Sciences Library (no longer available).
Master File Extent 475,651 bytes
ARK ark:/87278/s61v5gp3
Setname ir_etd
Date Created 2012-04-24
Date Modified 2012-04-24
ID 190474
Reference URL https://collections.lib.utah.edu/ark:/87278/s61v5gp3
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