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Epidural Analgesia for Labor and Delivery.
See comments provided by Dr. Lori Jean Reed and Dr. Brett Arron submitted comments to RI Monthly Magazine relating to a recent article on the pain associated with childbirth. (see letters to the editor August edition at http://rimonthly.com)

References cited by Doctors Reed and Arron:

Hill JB, Alexander JM, Sharma SK et al. A Comparison of the effects of epidural and meperidine analgesia during labor on fetal heart rate. Obstet Gynecol 2003;102:333-337.

Marucci M, Cinnella G, Perchiazzi G et al. Patient-requested neuraxial analgesia for labor.Anesthesiology 2007;106:1035-1045.

Reynolds F, Sharma SK, Seed PT. Analgesia in labour and fetal acid-base balance: a meta-analysis comparing epidural with systemic opioid analgesia. BJOG 2002;109:1344-1353.

Sharma SK, Alexander JM, Messick G, et al. Cesarean delivery: a randomized trial of epidural versus intravenous meperidine analgesia during labor in nulliparous women. Anesthesiology2002;96:546-550.

Sharma SK, Leveno KJ. Regional analgesia and progress of labor. Clin Obstet Gynecol2003;46:633-645.

Sharma SK, McIntire DD, Wiley J, et al. Labor analgesia and cesarean delivery: an individual patient meta-analysis of nulliparous women. Anesthesiology 2004;100:142-148.

Wong CA, Scavone BM, et al. The risk of cesarean delivery with neuraxial anesthesia given early versus late in labor. N Engl J Med 2005;352:655-665.


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