International Journal of Obstetric Anesthesia
Volume 19, Issue 1 , Pages 31-37 , January 2010

Satisfaction, control and pain relief: short- and long-term assessments in a randomised controlled trial of low-dose and traditional epidurals and a non-epidural comparison group

  • G.M. Cooper

      Affiliations

    • Department of Anaesthesia, Birmingham Women’s Hospital
    • Corresponding Author InformationCorrespondence to: Dr Griselda Cooper, Department of Anaesthetics, Queen Elizabeth Hospital, Queen Elizabeth Medical Centre, Edgbaston, Birmingham, UK. B15 2TH. Tel.: +44 121 627 2060.
    • ,
  • C. MacArthur

      Affiliations

    • Department of Epidemiology and Public Health, University of Birmingham
    • ,
  • M.J.A. Wilson

      Affiliations

    • Department of Anaesthesia, Royal Hallamshire Hospital, Sheffield
    • ,
  • P.A.S. Moore

      Affiliations

    • Department of Anaesthesia, Birmingham Women’s Hospital
    • ,
  • A. Shennan (on behalf of the COMET Study Group UK)

      Affiliations

    • Department of Reproduction and Endocrinology, Kings College London, St. Thomas Hospital, London, UK

,Accepted 4 May 2009.

References 

  1. Halpern SH, Leighton BL, Ohlsson A, Barrett JFR, Rice A. Effect of epidural vs parenteral opioid analgesia on the progress of labor. JAMA. 1998;280:2105–2110
  2. Howell CJ, Epidural vs non-epidural analgesia for pain relief in labour (Cochrane Review). In: The Cochrane Library 1999;Oxford: Update Software.
  3. Collis RE, Davies DWL, Aveling W. Randomised comparison of combined spinal-epidural and standard epidural analgesia in labour. Lancet. 1995;345:1413–1416
  4. Murphy JD, Henderson K, Bowden MI, et al. Bupivacaine versus bupivacaine plus fentanyl for epidural analgesia: effect on maternal satisfaction. BMJ. 1991;302:564–567
  5. Pain and its relief in childbirth. The results of a National Survey conducted by the National Birthday Trust. Chamberlain G, Wraight A, Steer P, eds. Churchill Livingstone 1993; London.
  6. Comparative Obstetric Mobile Epidural Trial (COMET) Study Group UK: Effect of low-dose mobile epidural versus traditional epidural techniques on mode of delivery. Lancet 2001;358:19–23.
  7. COMET Study Group UK . A randomized controlled trial comparing traditional with two “mobile” epidural techniques: anesthetic and analgesic efficacy. Anesthesiology. 2002;97:1567–1575
  8. Wilson MJA, MacArthur C, Shennan A on behalf of the COMET group. Urinary catheterisation in labour with high-dose vs mobile epidural analgesia: a randomized controlled trial. Br J Anaesth. 2009;102:97–103
  9. Wilson MJA, MacArthur C, Cooper GM, Shennan A. Ambulation in labour and delivery mode: a randomised controlled trial of high-dose versus mobile epidural analgesia. Anaesthesia. 2009;64:266–272
  10. MacArthur C, Lewis M, Knox EG, Crawford JS. Epidural anaesthesia and long term backache after childbirth. BMJ. 1990;301:9–12
  11. Department of Health . Changing childbirth. London: HMSO; 1993;
  12. Department of Health, Partnerships for children, families and maternity 2007. Maternity matters: choice, access and continuity of care in a safe service. htpp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_073312.
  13. Robinson PN, Salmon P, Yentis SM. Maternal satisfaction. Int J Obstet Anesth. 1998;7:32–37
  14. Nageotte M, Larson D, Rumney P, Sidhu M, Hollnbach K. Epidural analgesia compared with combined spinal-epidural analgesia during labor in nulliparous women. N Engl J Med. 1997;337:1715–1719
  15. Morgan BM, Bulpitt CJ, Clifton P, Lewis PJ. Analgesia and satisfaction in childbirth (The Queen Charlotte’s 1000 mother survey). Lancet. 1982;ii:808–810
  16. Collis R, Harding S, Morgan B. Effect of maternal ambulation on labour with low-dose combined spinal-epidural analgesia. Anaesthesia. 1999;54:535–539

 Presented in part at the Society for Obstetric Anesthesiology and Perinatology Annual Scientific Meeting, Phoenix, Arizona, USA, May, 2003.

PII: S0959-289X(09)00116-2

doi: 10.1016/j.ijoa.2009.05.004

International Journal of Obstetric Anesthesia
Volume 19, Issue 1 , Pages 31-37 , January 2010

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