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About a third of women receiving pethidine for labour pain subsequently require an epidural, which provides effective pain relief but increases the risk of instrumental vaginal delivery. Remifentanil patient-controlled analgesia (PCA) in labour is an alternative to pethidine, but is not widely used. We aimed to evaluate epidural analgesia progression among women using remifentanil PCA compared with...
Background: Epidural analgesia provides the most effective pain relief in labor, but it is not known if it causes adverse long‐term effects. The objective of this study was to assess the long‐term effects of two mobile epidural techniques relative to high‐dose epidural analgesia in a randomized controlled trial.
Methods: A total of 1,054 nulliparous women were randomized to traditional high‐dose...
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