Cost-effectiveness of a delayed pushing policy for patients with epidural anesthesia

Article Abstract:

Telling pregnant women in labor not to push until absolutely necessary could reduce the risk of complications from epidural anesthesia. In a study of 1,862 women, delayed pushing lowered the risk of a difficult delivery and did not increase the total hospital cost of the delivery.

Reports, Cost benefit analysis

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Multicenter, randomized, controlled trial of delayed pushing for nulliparous women in the second stage of labor with continuous epidural analgesia

Article Abstract:

Telling pregnant women in labor not to push until they are completely dilated could reduce the risk of complications from epidural anesthesia. In a study of 1,862 who were randomly assigned to push early or push late, delayed pushing reduce the risk of a difficult delivery by about 20%.

Prevention

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Multivariate analysis of risk factors for operative delivery in nulliparous women

Article Abstract:

Statistical models may be used to predict which pregnant women who have not born children before may be at risk of needing mid-forceps or cesarean section delivery. Researchers used information on 925 women who had not born children before and who were in labor to predict which of them would need assistance in delivering their infants. Women who were 35 years or older were most likely to need either a mid-forceps or cesarean delivery. Epidural analgesia was also a risk factor for assisted delivery. Women who smoked were less likely to have an assisted delivery.

Usage, Risk factors, Obstetrical forceps, Forceps delivery

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