A review of the impact of obstetric anesthesia on maternal and neonatal outcomes

G Lim, FL Facco, N Nathan, JH Waters… - …, 2018 - pmc.ncbi.nlm.nih.gov
Obstetric anesthesia has evolved over the course of its history to encompass comprehensive
aspects of maternal care, ranging from cesarean delivery anesthesia and labor analgesia to …

Pain management during labor and vaginal birth

JA Nanji, B Carvalho - Best Practice & Research Clinical Obstetrics & …, 2020 - Elsevier
Neuraxial analgesia provides excellent pain relief in labor. Optimizing initiation and
maintenance of neuraxial labor analgesia requires different strategies. Combined spinal …

Risk factors for severe perineal lacerations during childbirth

V Pergialiotis, D Vlachos, A Protopapas… - International Journal of …, 2014 - Elsevier
Background Severe perineal lacerations represent a significant complication of normal labor
with a strong impact on quality of life. Objectives To identify factors that lead to the …

Intermittent epidural bolus compared with continuous epidural infusions for labor analgesia: a systematic review and meta-analysis

RB George, TK Allen, AS Habib - Anesthesia & Analgesia, 2013 - journals.lww.com
BACKGROUND: The current standard labor epidural analgesic regimens consist of a local
anesthetic in combination with an opioid delivered via continuous epidural infusion (CEI) …

Effect of dural puncture epidural technique combined with programmed intermittent epidural bolus on labor analgesia onset and maintenance: a randomized …

Y Song, W Du, S Zhou, Y Zhou, Y Yu, Z Xu… - Anesthesia & …, 2021 - journals.lww.com
BACKGROUND: The dural puncture epidural (DPE) technique is associated with faster
onset than the conventional epidural (EP) technique for labor analgesia. The programmed …

Implementation of programmed intermittent epidural bolus for the maintenance of labor analgesia

B Carvalho, RB George, B Cobb… - Anesthesia & …, 2016 - journals.lww.com
E Special article structures are compressed. The most uniform spread occurred when large
volumes, and correspondingly high injectate pressures near the site of injection, were …

Programmed intermittent epidural bolus for labor analgesia during first stage of labor: a biased-coin up-and-down sequential allocation trial to determine the optimum …

ME Kanczuk, NM Barrett, C Arzola… - Anesthesia & …, 2017 - journals.lww.com
BACKGROUND: Most studies that have compared programmed intermittent epidural bolus
(PIEB) with continuous epidural infusion regimens have included patient-controlled epidural …

A systematic review and meta-analysis comparing programmed intermittent bolus and continuous infusion as the background infusion for parturient-controlled …

J Xu, J Zhou, H **ao, S Pan, J Liu, Y Shang, S Yao - Scientific reports, 2019 - nature.com
The programmed intermittent epidural bolus (PIEB) technique offers multiple benefits over
continuous epidural infusion (CEI), but controversy still exists when it is used in conjunction …

Management of spontaneous labour at term in healthy women

L Lee, J Dy, H Azzam - Journal of Obstetrics and Gynaecology Canada, 2016 - Elsevier
Objective The purpose of this guideline is to provide guidance for the intrapartum
management of spontaneous labour, whether normal or abnormal, in term, healthy women …

Programmed intermittent epidural boluses for maintenance of labor analgesia: an impact study

CP McKenzie, B Cobb, ET Riley, B Carvalho - International journal of …, 2016 - Elsevier
Introduction The aim of this impact study was to compare the analgesic efficacy and side
effect profile of programmed intermittent epidural boluses (PIEB)+ patient-controlled epidural …