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title
parentingwithevidence
description
image
site name
parentingwithevidence
author
updated
2026-02-24 23:19:31
raw text
parentingwithevidence Skip to content parentingwithevidence Epidurals! Epidural anaesthesia is a painkiller, usually clonidine in the case of childbirth, injected into the space between the vertebrae in the spinal cord. Epidurals are good at relieving pain and don’t harm babies. A meta-analysis of randomized controlled trials found that epidurals (compared to opioids, which don’t relieve pain noticeably) don’t affect fetal oxygenation, neonatal pH, Apgar score, caesarean delivery, or the use of forceps.[1] A second meta-analysis also concluded that epidurals don’t increase the rate of C-sections or forceps.[4] Epidurals do significantly increase labor time, by a mean of about an hour. They also cause fever (in about a quarter of women) and hypotension (in about 40%).[2] People who choose epidurals may be more likely to also get C-sections (about 2.5x in a case series of 711 patients, for instance[6]), but randomized trials and natural experiments in which epidural ut...
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