Cochrane Database Syst Rev December 2011 PMID 22161362

Epidural versus non-epidural or no analgesia in labour.

Millicent Anim-Somuah, Rebecca Md Smyth, Leanne Jones

Mentions

25
Peak: 3 in Sep 2019
across 5 sources since Nov 2015

Extended reach

7,160
potential audience

Total likes

31

Video views

1,301

Mentions per month

Nov 2015 – Feb 2024

Where it's discussed

  • News16 articles
  • X / Twitter5 posts
  • YouTube2 videos
  • Facebook1 posts
  • Reddit1 posts

AI synopsis

What people are saying

The discussions reveal a moderate level of agreement and engagement, with some posters referencing systematic reviews like Cochrane and discussing procedural complications such as instrument-assisted deliveries, reflecting their concern about balancing pain relief options without compromising access. The tone is clinical and pragmatic, emphasizing real-world implications, which contributes to the overall moderate impact rating.

AgreementModerate agreement

Most discussions reflect a cautious support or acceptance of the publication's perspective, especially regarding maintaining access to pain management options.

InterestModerate interest

Participants demonstrate moderate interest, with comments referencing clinical decisions, Cochrane reviews, and practical implications.

EngagementModerate engagement

The conversations include specific references to procedures, potential complications, and evidence, indicating a moderate level of thoughtful engagement.

ImpactModerate impact

The discussions show recognition of the article's relevance to clinical practice and patient care considerations, suggesting a moderate impact on the field.

Abstract in brief

  • Epidural analgesia effectively reduces pain during labor and decreases the need for additional pain relief, but it is associated with increased risks of assisted vaginal birth, maternal hypotension, and motor blockade.
  • Compared to no pain relief or other analgesic methods, epidural provides better pain management and lowers the risk of fetal acidosis and naloxone use.
  • However, it may lead to certain adverse effects for the mother, including a higher chance of assisted delivery, low blood pressure, and motor function impairment.

Top posts

Most liked on X and Bluesky
Ignacio Rodriguez
@par1701 · X

@mar_perez_ruiz La próxima vez, les dices que de la cochrane https://t.co/53N976nvDi

Sep 15, 2019 · 2 likes · 2 shares · 22 followers View post →
Prof Jenny Gamble
@ProfJennyGamble · X

@jabberwock951 @susan_bewley @alf_collins @drruthannharpur @pash22 @ASTC108 @DrNickB_ObAnaes @CasualtySurgeon @chungopailot @NICEComms @BlottMaggie @jimgthornton @catherineroyuk @OAAinfo @RCObsGyn @EdzardErnst Under discussion is not whether they are equivalent but whether it is ok to consider their use without compromising access to pharmacological pain management. These may be helpful - Epidural versus no analgesia https://t.co/iZ9ni34oRJ

Feb 20, 2024 · 3,881 followers View post →
Mª Mar Pérez Ruiz
@mar_perez_ruiz · X

RT @par1701: @mar_perez_ruiz La próxima vez, les dices que de la cochrane https://t.co/53N976nvDi

Sep 15, 2019 · 2 shares · 1,109 followers View post →
José González
@fisiojgr · X

RT @par1701: @mar_perez_ruiz La próxima vez, les dices que de la cochrane https://t.co/53N976nvDi

Sep 15, 2019 · 2 shares · 611 followers View post →

All mentions

Prof Jenny Gamble
@ProfJennyGamble · X

@jabberwock951 @susan_bewley @alf_collins @drruthannharpur @pash22 @ASTC108 @DrNickB_ObAnaes @CasualtySurgeon @chungopailot @NICEComms @BlottMaggie @jimgthornton @catherineroyuk @OAAinfo @RCObsGyn @EdzardErnst Under discussion is not whether they are equivalent but whether it is ok to consider their use without compromising access to pharmacological pain management. These may be helpful - Epidural versus no analgesia https://t.co/iZ9ni34oRJ

Feb 20, 2024 · 3,881 followers View post →
Mª Mar Pérez Ruiz
@mar_perez_ruiz · X

RT @par1701: @mar_perez_ruiz La próxima vez, les dices que de la cochrane https://t.co/53N976nvDi

Sep 15, 2019 · 2 shares · 1,109 followers View post →
José González
@fisiojgr · X

RT @par1701: @mar_perez_ruiz La próxima vez, les dices que de la cochrane https://t.co/53N976nvDi

Sep 15, 2019 · 2 shares · 611 followers View post →
Ignacio Rodriguez
@par1701 · X

@mar_perez_ruiz La próxima vez, les dices que de la cochrane https://t.co/53N976nvDi

Sep 15, 2019 · 2 likes · 2 shares · 22 followers View post →
⍼☣️ Casandra del Covid ☣️⍼
@monjamellada · X

@raperadelpp com que dorm la part inferior del cos pot afavorir que s’hagin d’utilitzar instrument pel part (https://t.co/eziRZEqug7), com els forceps, que tenen una serie de complications com per la mare com el fetus (https://t.co/andzwMyJ29)

May 25, 2019 · 45 followers View post →
Libro Obstetricia Subred | PDF
News

library.com/cdsr/doi/10.1002/14651858.CD006946.pub3/abstract 25. Kent JC ... CD000331. doi: 10.1002/14651858.CD000331.pub3 50. Tesnière A, Rackelboom T ...

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Cochrane Database Syst Rev 2005; (2):CD001688. CD004072. doi: 10.1002/14651858.CD004072.pub3. ... CD000331. 63. Creedon D, Akkerman D, Atwood L, Bates L ...

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Tema 1 Kosep Medikalisasi Dalam Pelayanan Kebidanan | PDF ...
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... 10.1002/14651858.CD000331. pub4. [7 ] L. Jansen, M. Gibson, B.C. Bowles, J ... org/10.1002/14651858.CD006066.pub3. [9] A. Lindholm, I. Hildingsson ...

Dec 12, 2025 View →
Obstetric Intervention | PDF | Pelvis | Skull
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... 10.1002/14651858.C D 000081.pub2. episiotom y an d an al sphincter ... 14651858.C D 000331,pub3. 37 Pretlove SJ, T h om p so n PJ, T o osz-H ob son ...

Dec 12, 2025 View →
Persistent Occiput Posterior | PDF | Childbirth | Caesarean Section
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No.: CD000331. DOI: persistent occiput posterior position and neonatal outcomes. 10.1002/14651858.CD000331.pub3. Obstet Gynecol 2006;107:837–44. 24. Senécal ...

Dec 12, 2025 View →
Population Based Risk Factors for S 2018 Journal of Obstetric ...
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1002/14651858.CD000331.pub3 NEJMoa042973. Australian Institute of Health and ... https://doi.org/10.1002/14651858.CD009351.pub2 childbirth. The Atlantic ...

Dec 12, 2025 View →
蘇怡寧醫師愛碎念
Facebook

doi:10.1002/14651858.CD011345.pub3. May be an ... 2018;5:CD000331. 3. ACOG Practice Bulletin No. 209 Summary: Obstetric ...

Dec 12, 2025 View →
Obstetric protocol blz | DOCX
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... 10.1002/14651858.CD000020.pub3. Crowther CA, Middleton P. Anti‐D ... CD000331.DOI: 10.1002/14651858.CD000331.pub4) (Jones L, Othman M, Dowswell T ...

Dec 12, 2025 View →
Preventing the first cesarean delivery | PDF
News

No.: CD000331. DOI: Pract Res Clin Obstet Gynaecol 2001;15:179–94. 10.1002/14651858.CD000331.pub3. 8. Brennan DJ, Murphy M, Robson MS, O'Herlihy C. The sin ...

Dec 12, 2025 View →
Jsafog 16 74 | PDF
News

Operative vaginal delivery: Practice 2011;(12):CD000331. DOI: 10.1002/14651858.CD000331.pub3. patterns and outcomes at a tertiary general hospital ...

Dec 12, 2025 View →
Pain Management During Labour and Vaginal Birth | PDF ...
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https://doi.org/10.1002/14651858.CD003401.pub3. [9] Gambling D, Berkowitz J ... https://doi.org/10.1002/14651858.CD000331.pub4. 29. Highlights. • The ...

Dec 12, 2025 View →
Bernitz 2014 | PDF | Childbirth | Caesarean Section
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CD000331 〈http://onlinelibrary.weily.com/doi/10.1002/14651858.CD000331. Care of Healthy Women and their Babies During Childbirth. 〈http://www.nice. pub3 ...

Dec 12, 2025 View →
Practice Bullet In: Obstetric Analgesia and Anesthesia | PDF ...
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DOI: 10.1002/14651858.CD000331.pub3. lytic therapy: American Society of Regional Anesthesia (Level III) [PubMed] [Full Text] ^ and Pain Medicine Evidence ...

Dec 12, 2025 View →
Failure to perform assisted deliveries is resulting in an increased ...
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No.: CD000331. https://doi.org/10.1002/14651858. cd000331.pub3 [7.] Birthplace in England Collaborative Group. Perinatal and maternal outcomes by planned ...

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Who decides the 10.1002/14651858.CD000331.pub3] position for birth? - a follow up study of a randomized. Atwood 1976 controlled trial. International ...

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AWARENESS AND ACCEPTABILITY OF EPIDURAL ANESTHESIA ...
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for pain management in labour. Cochrane Database Syst Rev., 3(12):CD000331. doi: 10.1002/14651858.CD000331.pub3. Anim-Somuah, M.

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doi: 10.1002/14651858.CD006672.pub3. pmid:28608597. 30. Anim-Somuah M ... 2018;5:Cd000331. 31. Tornell S, Ekeus C, Hultin M, Hakansson S ...

May 22, 2020 View →
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Reddit

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000331.pub3/abstract · https://www.nichd.nih.gov/news/releases/Pages/epidural.aspx.

Nov 28, 2015 View →