Is there a causeandeffect relationship between epidural anesthesia and prolonged labor or operative delivery

No. This issue was highly controversial. It has been reported that epidural analgesia is associated with prolonged labor and increased operative delivery, but recent studies do not support this assertion. Although epidural labor analgesia may prolong the second stage by about 30 minutes, there appears to be no harm to mother or fetus, and the American College of Obstetricians and Gynecologists (ACOG) recommends allowing an extra hour of pushing for mothers with an epidural block in place. ACOG has stated that: "Neuraxial analgesia techniques are the most effective and least depressant treatments for labor pain ... more recent studies have shown that epidural analgesia does not increase the risks of cesarean delivery."

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Pregnancy And Childbirth

Pregnancy And Childbirth

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