Risk Assessments of Epidural Analgesia During Labor and Delivery Herrera Gómez, Antonio Luna Bertos, María Elvira De Ramos Torrecillas, Javier Ocaña Peinado, Francisco Ruiz Rodríguez, Concepción García Martínez, Olga Epidural analgesia (EA) is one of the methods of choice for labor pain relief, but its adverse effects on the mother and child remain controversial. The objective of this study was to determine whether there is an association between the use of EA and different aspects of labor. The author(s) analyzed the effect of EA on different aspects of labor in a retrospective cohort observational study of deliveries in a public Spanish hospital during a 3-year period. Women with EA administration were found to increase the risk of stimulated labor, reduce the percentage of spontaneous deliveries, increase the risk of instrumental labor due to stalled labor or loss of fetal well-being, and increase the percentage of episiotomies. However, women with EA were not and increased risk for perineal laceration or the condition of the membranes at the delivery or with the type of placental expulsion. Thus, the administration of EA should be assessed in each case by the health care professional. 2024-01-26T12:06:45Z 2024-01-26T12:06:45Z 2018 journal article Risk Assessments of Epidural Analgesia During Labor and Delivery. Clinical Nursing Research. 27 - 7, pp. 841 - 852. DOI: http://dx.doi.org/10.1177/1054773817722689 https://hdl.handle.net/10481/87370 http://dx.doi.org/10.1177/1054773817722689 eng http://creativecommons.org/licenses/by-nc-nd/4.0/ open access Attribution-NonCommercial-NoDerivatives 4.0 Internacional Sage Journals