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https://ciane.net/id=243

Created on : 15 Dec 2003
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Epidural analgesia and backache: a randomized controlled comparison with intramuscular meperidine for analgesia during labour. British Journal of Anaesthesia. 2002 Sep;89(3):466-72.

Author(s) :

Loughnan BA, Carli F, Romney M, Dore CJ, Gordon H.

Year of publication :

2002

URL(s) :

http://bja.oupjournals.org/cgi/content/abstract/89…

Résumé (français)  :

Abstract (English)  :

BACKGROUND: Concern has been expressed that epidural analgesia for labour may be associated with a higher incidence of backache.
METHODS: A prospective randomized trial investigating the effect of epidural analgesia on the outcome of labour in nulliparae, mothers were randomized to receive either epidural analgesia or meperidine. A questionnaire on postnatal symptoms was sent to them 6 months after delivery.
RESULTS: In all, 611 mothers were studied; 310 were randomly allocated to receive i.m. meperidine up to 300 mg and 301 to receive epidural bupivacaine. The response rate to our questionnaire was 83%. Intention-to-treat analysis showed similar prevalence rates of postpartum backache in the epidural (48%) and meperidine groups (50%), with an observed difference (epidural-meperidine) of -2% (95% CI, -11 to +6%). After excluding mothers with backache before delivery, there were also similar incidence rates of postpartum backache in the epidural (29%) and meperidine groups (28%), observed difference 1% (95% CI, -8 to +10%). CONCLUSIONS: Epidural analgesia in labour was not associated with an increase in the prevalence or incidence of backache.

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Keywords :

➡ pain medication ; epidural ; pain

Author of this record :

Cécile Loup — 15 Dec 2003