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Local Anesthetics: Clinical Application as Epidural Anesthesia

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

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Author Spotlight: Advancing Labor Management Through Electromyometrial Imaging for Understanding Uterine Contractions

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Labor Induction Techniques: Which Is the Best?

Christina A Penfield¹, Deborah A Wing¹

¹Department of Obstetrics and Gynecology, University of California, Irvine School of Medicine, 333 City Boulevard West, Suite 1400, Orange, CA 92868, USA.

Obstetrics and Gynecology Clinics of North America

|October 29, 2017

Summary

This summary is machine-generated.

Labor induction is common when delivery benefits outweigh expectant management risks. Cervical assessment guides method selection for optimal mother and newborn outcomes.

Keywords:

Amniotomy Bishop score Foley balloon Labor induction Oxytocin Prostaglandins

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Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine

Background:

Labor induction is a frequent obstetric procedure.
Decisions are based on balancing delivery benefits against expectant management risks.

Purpose of the Study:

To review methods for labor induction.
To highlight the importance of cervical assessment in selecting induction methods.
To ensure optimal maternal and neonatal outcomes.

Main Methods:

Review of pharmacologic and mechanical methods for labor induction.
Discussion of factors influencing method selection (indication, presentation, safety, cost, patient preference).
Emphasis on cervical assessment for tailoring the approach.

Main Results:

For an unfavorable cervix, various pharmacologic and mechanical methods exist with distinct pros and cons.
For a favorable cervix, combined amniotomy and intravenous oxytocin is typically most effective.

Conclusions:

Cervical assessment is crucial for selecting the appropriate labor induction method.
The choice of induction method should consider individual patient factors and clinical presentation.
The ultimate goal of labor induction is to achieve the best possible outcome for both mother and infant.