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Epidural Pushing Position: Out of the Fire into the Frying Pan

“One of the most influential biases in the acquisition of evidence is choice of the question, and the best evidence in answer to the wrong question is useless.” Menticoglou & Hall 2002 Making [...]

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Dueling Statistics: Is Delayed Pushing A.K.A. “Laboring Down” a Good or a Bad Idea?

Medpage Today reports on a study contradicting the rationale for delayed pushing, or “laboring down,” with an epidural. Analysis of the hospital records of 21,000 1st-time mothers concluded that [...]

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More Time to Push Reduces Cesarean Rates in 1st-Time Mothers with Epidurals

EurekAlert reports on a trial finding that giving 1st-time mothers more time to push out their babies cuts the cesarean rate for prolonged second stage in half. The American College of [...]

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Labor Drugs Have Adverse Effect on Newborn Ability to Suckle

According to a study soon to be published in Birth, epidural fentanyl and IV oxytocin have dose-dependent negative effects on instinctive newborn ability to suckle. Investigators blinded to [...]

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