Increased duration of labor with epidurals
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This retrospective cohort study of 42,268 women who delivered cephalic singletons vaginally during the years of 1976-2008 compared the duration of the second stage of labor in women with and without epidurals. Women with the following risk factors were excluded: placenta previa, intrauterine fetal demise, or known lethal congenital anomalies. Bottom line: Epidurals prolong the second stage of labor. Prolonged second stage appears to lead to higher rates of birth trauma.
Evidence-based practice 18, no. 03 (2015): 5