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Re: OB: Clark et alFrom: Antonio Valdez (avaldez@infolnk.net)Thu Dec 31 14:04:43 1998
At 11:05 AM 31/12/98 -0600, you wrote: >Reference: Clark et al. The influence of epidural analgesia on cesarean >delivery rates: A randomized, prospective clinical trial. Am J Obstet >Gynecol 1998;179:1527-33. >This is a good article. It refutes any increased risk of cesarean from >epidural in nulliparous patients. >Any comments on this interesting study? >Geffrey H Klein, MD Geffrey: A late but sincerelly congrat for your BOARD Cert... This paper remains one meta-analisis (Halpern,S: JAMA 98;22) of 10 randomized trials included 2,369 patients. NO increase of C-section with epidurals ( 8.2% VS 5.6% with narcotics ) - longer second stage with epi NO influence in perinatal morb - epi clearly superior pain relief - lower acidosis with epi Here in Mexico; always epidural, rarely narcotics...good results Happy New Year...and long life to the list
-- Antonio Valdez-Torres MD FACOG Hospital Guernika Ciudad Juarez, Chihuahua, MEXICO
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