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Prije nego odgovorim na Petrino pitanje da li postoje dokazane posljedice epiduralne da samo kažem da sam uvijek za slobodu izbora ali i za slobodu informiranosti. Meni je super kako su moj sestri u Beču kao opciju za porod ponudili epiduralnu ali joj je knjižici pisao popis mogučih nuspojava. Dakle austrijskim doktorima te nuspojave nisu bapske priče.
Što je u medicini dokaz? Ako mislimo na studije i EBM onda da postoje dokazi evo samo neki od njih dalje ne stignem kopati
Conclusions:The present data indicate that several types of analgesia given to the mother during labor may interfere with the newborn's spontaneous breast-seeking and breastfeeding behaviors and increase the newborn's temperature and crying.
http://www.blackwell-synergy.com/rd....&vol=28&page=5
Background. Epidural analgesia (EDA) has been reported to prolong labor. Whether this is by interference with endogenous oxytocin release or other mechanisms is unclear. With increasing numbers of women receiving an EDA, it is important to study its effects on labor. The aim was to study the concentration of plasma oxytocin and the progress of labor in women with and without EDA.
Conclusion. EDA during labor may interfere with the release of plasma oxytocin, which may be one mechanism behind prolongation of labor. Larger studies are needed to clarify the effects of epidural analgesia and the role of oxytocin during labor.
http://www.blackwell-synergy.com/lin....811107.x/abs/
Conclusions: Nulliparous women have a high use of epidural analgesia in labour. Nulliparous women who choose epidural analgesia are more likely to breast-feed for shorter durations. Further exploration of the factors underlying this association should be undertaken.
http://www.blackwell-synergy.com/lin...1-00117.x/abs/
The course of labor with and without epidural analgesia.
CONCLUSION: Epidural analgesia decreases uterine performance during oxytocin-stimulated labor, resulting in an increase in the length of the first and second stages of labor.
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