Navigation Links
Combo Treatment Might Beat Epidural to Ease Labor: Study
Date:3/5/2013

TUESDAY, March 5 (HealthDay News) -- In the first stage of labor, a combined spinal-epidural technique provides faster and better pain relief compared to traditional epidural pain relief, a new study suggests.

The research included 800 healthy women who required pain relief during childbirth, and who were divided into two groups. One group received standard epidural pain relief, which involves injections of local anesthetic and pain medications into the epidural space, inside the membranes covering the spinal cord.

The other group received the combination approach, which starts with medications injected into the intrathecal space, the deeper space directly around the spinal cord, before using an epidural injection.

After the initial epidural or intrathecal injections, both groups received patient-controlled epidural analgesia. The effectiveness of pain relief, rated on a 0-to-10 scale, was compared at different times during labor and delivery.

During the first state of labor, the typical pain score was 1.4 (out of 10) for women receiving the combo therapy and 1.9 for those receiving standard epidural analgesia. This difference was statistically significant, according to a team led by Dr. David Gambling of Sharp Mary Birch Hospital for Women and Newborns in San Diego.

The study also found that complete pain relief was achieved an average of 11 minutes faster among women in the combo therapy group than those in the standard epidural group. Women who got the combination of pain relievers were also less likely to require additional epidural "top-up" doses to maintain good pain control.

Side effects were similar in both groups and there was no significant difference in the type of delivery, with cesarean section rates of 14 percent to 16 percent, concluded the study, which is published in the March issue of the journal Anesthesia & Analgesia.

Experts agreed, however, that pain relief during labor is often a case-by-case decision, and the combination approach might have its own drawbacks.

"The study confirms what we know previously -- namely, that the [combination approach] provides faster onset pain relief [by a few minutes] but is associated with a greater incidence of side effects including itching and low fetal heart rates," said Dr. Grant Gilbert, an obstetrician/gynecologist at NYU Langone Medical Center in New York City.

He added, however, that even though the rate of low fetal heart rate was a bit higher among women in the study who got the combination pain relief, "no patient required emergency cesarean for this fetal heart rate problem."

Gilbert also added that some doctors avoid the intrathecal approach due to a higher risk for meningitis, although this is an "admittedly rare complication" and there were no such incidents in the study.

"The bottom line is that both epidural and [the combination] techniques may be used to provide profound pain relief during labor," said Gilbert, who is also associate professor in the department of anesthesiology at NYU Langone. "Ultimately, each practitioner administers the type of analgesia that s/he considers to be best for their patient."

Another expert said the combination approach might have an edge in many cases.

"Combined spinal epidural anesthesia offers significantly better and faster relief for patients in labor, [and] there was no increase in side effects or cesarean sections, either," said Dr. Jennifer Wu, ob/gyn at Lenox Hill Hospital in New York City. "For patients who desire pain relief in labor, this is good information."

More information

The American Society of Anesthesiologists has more about pain management during childbirth.

-- Robert Preidt

SOURCES: Grant Gilbert, M.D., obstetrician/gynecologist, NYU Langone Medical Center, and associate professor, department of anesthesiology, division of obstetrics, NYU Langone Medical Center, New York City; Jennifer Wu, M.D., obstetrician/gynecologist, Lenox Hill Hospital, New York City; Anesthesia & Analgesia, news release, Feb. 27, 2013


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Combo Inhaler May Give Better Relief for Some With Asthma
2. Niacin-Statin Combo May Cause Side Effects for Heart Patients
3. Acai Plus & Detox Plus Combo Pack Now Comes with Extra Information Guide with Every Purchase
4. Combo of Avastin, second drug shows promise fighting brain cancer, Mayo Clinic finds
5. New screening approach identified potential drug combos for difficult-to-treat melanomas
6. Combo Therapy May Help Ease Sleep Apnea at High Altitude
7. HIV Drug Combo May Help Prevent Malaria Reinfection
8. Being neurotic, and conscientious, a good combo for health
9. PI3-kinase and PARP inhibitor combo may offer new treatment option for triple-neg breast cancers
10. Cooking-Oil Combo May Improve Blood Pressure
11. Double drug combo could shut down abnormal blood vessel growth that feeds disease
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Combo Treatment Might Beat Epidural to Ease Labor: Study
(Date:2/5/2016)... ... February 05, 2016 , ... ... of Popeyes Louisiana Kitchen restaurants, launched the 14th annual “Appetite for a Cure” ... adults with muscular dystrophy, ALS and related diseases that severely limit strength and ...
(Date:2/5/2016)... New York, New York (PRWEB) , ... February 05, 2016 , ... ... your life? The answer may be at the tips of your toes. Foot massage, ... benefits as well as pure comfort and relaxation. The American Board of Multiple ...
(Date:2/5/2016)... Toronto, Ontario (PRWEB) , ... February 05, 2016 , ... ... the Scarborough General Hospital Burn Unit, plastic and cosmetic surgeon Dr. Wayne Carman transitioned ... the Scarborough Hospital. He successfully completed his first three-year term as chief and began ...
(Date:2/5/2016)... ... 2016 , ... US Sports Camps , official operators of Nike Yoga ... kids yoga training. ChildLight Yoga Studio is centrally situated in the picturesque New England ... Yoga Studio founder Lisa Flynn expresses her excitement, “We are thrilled to be partnering ...
(Date:2/5/2016)... (PRWEB) , ... February 05, 2016 , ... The American ... technology, such water may be safer than regular municipal or well water. The recent ... radio host Sharon Kleyne, could go a long way toward increasing public acceptance of ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... OAKS, Calif. , Feb. 5, 2016 Amgen ... 5 th Annual Global Healthcare Conference at 9:15 a.m. ... York City . David W. Meline , executive ... at the conference. Live audio of the presentation can be ... , under Investors. A replay of the webcast will also ...
(Date:2/5/2016)... Feb. 5, 2016  ivWatch, a medical devices company, is ... Award granted by Governor Terry McAuliffe,s office. ivWatch ... February 25th at an event to be held at the ... award honors professionals and business that have made significant contributions ... Logo - http://photos.prnewswire.com/prnh/20160205/330117LOGO ...
(Date:2/5/2016)... -- Aralez Pharmaceuticals Inc. ("Aralez") today announced the completion of ... Canada Inc. ("Tribute") following approval of the transaction by ... company will operate under Aralez Pharmaceuticals Inc. ("Aralez"), a ... Canada , Ireland and ... terms of the Agreement and Plan of Merger and ...
Breaking Medicine Technology: