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Epidural analgesics and increase in duration of first stage of labour?

Answer

Epidural analgesia has been associated with a slight extension of the first stage of labor. Evidence suggests that epidural analgesia may extend the first stage of labor by approximately 30 minutes when compared with alternative forms of analgesia
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Abstract

4.

Modern labor epidural analgesia: implications for labor outcomes and maternal-fetal health

PubMed
High-impact
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Impact of epidural analgesia on labor duration

Guidelines and recommendations

In conclusion, while epidural analgesia may slightly extend the first stage of labor, the overall impact on labor duration is considered clinically negligible. The use of neuraxial anesthesia is recommended for superior pain relief, and maintaining patient mobility during labor is encouraged

References

1

Labor dystocia

Medical management

Guidelines

Management of pain, neuraxial anesthesia

Pathway
SOGC 2016