PubHawk
Cochrane Database Syst Rev May 2018 PMID 29781504

Epidural versus non-epidural or no analgesia for pain management in labour.

Millicent Anim-Somuah, Rebecca Md Smyth, Allan M Cyna, Anna Cuthbert

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Mentions

64
Peak: 7 in May 2023
across 5 sources since Jan 2019

Extended reach

130,686
potential audience

Total likes

124

Video views

4,148

Mentions per month

Jan 2019 – Jul 2025

Where it's discussed

  • X / Twitter28 posts
  • News15 articles
  • Facebook14 posts
  • YouTube5 videos
  • Blogs2 articles

AI synopsis

What people are saying

Overall, the discussions reflect a high level of interest in the safety and efficacy of epidurals, with some posts emphasizing evidence-based conclusions from studies like Cochrane reviews, while others raise concerns about medication crossing the placenta. The tone varies from informative to cautiously critical, demonstrating moderate engagement and potential influence on childbirth decisions.

AgreementModerate agreement

Most discussions support the idea that epidurals are effective and safe, though some posts question their safety regarding medications crossing the placenta.

InterestHigh interest

Posts show high interest, with many delving into nuances like safety, long-term effects, and medical evidence surrounding epidural use.

EngagementModerate engagement

Those involved reference specific studies, such as Cochrane reviews, and discuss methodological concerns, indicating moderate deep engagement.

ImpactModerate impact

The discussions could influence opinions on childbirth methods, emphasizing the importance of informed choice and highlighting potential risks and benefits.

Abstract in brief

  • This review compares the effectiveness and safety of epidural analgesia, including different types like combined spinal-epidural (CSE), with no pain relief or other pain management methods during labor, analyzing data from over 11,000 women across 40 trials.
  • Epidural analgesia is widely used for labor pain relief but raises concerns about potential adverse effects on both mother and baby, prompting an updated assessment of its safety compared to other options.
  • The included studies vary in quality, with some showing high or unclear risks of bias, making it important to interpret the findings carefully when considering epidural versus other pain management methods in labor.
Read the full abstract

Top posts

Most liked on X and Bluesky
川北哲也
@TetsuyaKawakit · X

無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 https://t.co/cDD8B9edOa

Sep 29, 2023 · 53 likes · 10 shares · 3,906 followers View post →
glorichi
@gloefece_ · X

@martaaaapc https://t.co/iryjBtcDlk https://t.co/4ykrtL1E0W

May 25, 2023 · 18 likes · 7 shares · 2,614 followers View post →
Joserra
@jramonfernandez · X

@Albaniact @Suesawsann @MamaconNeurofi1 @AhsleyAnn @Medicilio Pues esta Cochrane le da razón, es falso. Nivel máximo de evidencia científica. Buen día. https://t.co/HWyVzEOwuG

Aug 29, 2022 · 7 likes · 49,579 followers View post →
Peggy Hector Blas, MD, PhD
@deltabloqueante · X

@RobertoDeNiroh @bephantol https://t.co/CiSjLwMwUN resumo conclusiones para quien le interese

Apr 10, 2021 · 5 likes · 3,235 followers View post →
Max Jordan Nguemeni
@MaxJordan_N · X

@BovbjergMarit I know the sequence makes sense but I thought this was settled, that epidurals don’t cause cesareans? “modern approaches to epidurals don’t affect this outcome. They had no impact on the risk of c-section, long-term backache, or neonatal status.” https://t.co/TaJTydiybi

Oct 9, 2023 · 4 likes · 19,771 followers View post →
Liz Sutton
@believemeithurt · X

@RMatthewsPsyEdu @DOckendenLtd @KirstieMAllsopp @wesstreeting @RosieDuffield1 @theodoraclarke @BirthTrauma @masic_uk @NadineMontgmery @JamesTitcombe @autinveniamviam @PMcDonaghHull @EmilyJBarley @sirin_kale @Sajhawkins1 @jackhawkski @FionaWinserRamm Also - not epidurals may reduce pain in labour- the truth is epidurals are the most effective form Of pain relief outside of an operating theatre. That’s downplaying the evidence. I thought they said they relied on it. Well let me help them out. https://t.co/0A43wLXtVL

Jul 19, 2024 · 3 likes · 610 followers View post →

All mentions

Anna
@anniodarone3 · X

https://t.co/Jx5qHB3qN7 https://t.co/tKdGApYvrD https://t.co/Z04CPgUL5N

Jul 28, 2025 · 2,936 followers View post →
Liz Sutton
@believemeithurt · X

@RMatthewsPsyEdu @DOckendenLtd @KirstieMAllsopp @wesstreeting @RosieDuffield1 @theodoraclarke @BirthTrauma @masic_uk @NadineMontgmery @JamesTitcombe @autinveniamviam @PMcDonaghHull @EmilyJBarley @sirin_kale @Sajhawkins1 @jackhawkski @FionaWinserRamm Also - not epidurals may reduce pain in labour- the truth is epidurals are the most effective form Of pain relief outside of an operating theatre. That’s downplaying the evidence. I thought they said they relied on it. Well let me help them out. https://t.co/0A43wLXtVL

Jul 19, 2024 · 3 likes · 610 followers View post →
Max Jordan Nguemeni
@MaxJordan_N · X

@BovbjergMarit I know the sequence makes sense but I thought this was settled, that epidurals don’t cause cesareans? “modern approaches to epidurals don’t affect this outcome. They had no impact on the risk of c-section, long-term backache, or neonatal status.” https://t.co/TaJTydiybi

Oct 9, 2023 · 4 likes · 19,771 followers View post →
中村 靖＠FMC東京クリニック
@drsushi6 · X

RT @TetsuyaKawakit: 無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 htt…

Oct 1, 2023 · 10 shares · 3,654 followers View post →
Soi
@soi_ob · X

RT @TetsuyaKawakit: 無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 htt…

Oct 1, 2023 · 10 shares · 7 followers View post →
伊勢カンナ
@kanna1046k · X

RT @TetsuyaKawakit: 無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 htt…

Oct 1, 2023 · 10 shares · 145 followers View post →
御手洗アキラ
@a_r_c_wksy · X

RT @TetsuyaKawakit: 無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 htt…

Oct 1, 2023 · 10 shares · 4,648 followers View post →
やおこ
@m15_5081 · X

RT @TetsuyaKawakit: 無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 htt…

Sep 30, 2023 · 10 shares · 352 followers View post →
もちろん真剣(ガチ)で
@3103ainz1 · X

https://t.co/80F9PdV8Kj

Sep 30, 2023 · 241 followers View post →
産科麻酔科医❤️子沢山ママ
@dryukamamayuka · X

RT @TetsuyaKawakit: 無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 htt…

Sep 30, 2023 · 10 shares · 4,740 followers View post →
YOKOT
@egbusvagcx · X

RT @TetsuyaKawakit: 無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 htt…

Sep 30, 2023 · 10 shares · 1,461 followers View post →
Ayako Shibata@ウィメンズヘルス本発売中
@ayako700 · X

RT @TetsuyaKawakit: 無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 htt…

Sep 30, 2023 · 10 shares · 12,628 followers View post →
原　崇文
@fujinka_hara · X

RT @TetsuyaKawakit: 無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 htt…

Sep 29, 2023 · 10 shares · 911 followers View post →
川北哲也
@TetsuyaKawakit · X

無痛分娩が吸引/鉗子分娩を増やすとXで見て、驚いて調べてみた！最近のメタアナリシスによると、2005年以降のRCTでは優位差なし、古いRCTを入れると有意差ありとのこと。無痛分娩の技術の進歩により有害事象も減ったとも考えられる。 https://t.co/cDD8B9edOa

Sep 29, 2023 · 53 likes · 10 shares · 3,906 followers View post →
Rubén
@rugagar · X

RT @gloefece_: @martaaaapc https://t.co/iryjBtcDlk https://t.co/4ykrtL1E0W

May 26, 2023 · 7 shares · 1,043 followers View post →
Adrián Navarro
@adrian_ct95 · X

RT @gloefece_: @martaaaapc https://t.co/iryjBtcDlk https://t.co/4ykrtL1E0W

May 25, 2023 · 7 shares · 190 followers View post →
Chapulin colorado
@txapulinkolorao · X

RT @gloefece_: @martaaaapc https://t.co/iryjBtcDlk https://t.co/4ykrtL1E0W

May 25, 2023 · 7 shares · 34 followers View post →
Mardom
@mardommusic · X

RT @gloefece_: @martaaaapc https://t.co/iryjBtcDlk https://t.co/4ykrtL1E0W

May 25, 2023 · 7 shares · 1,119 followers View post →
Bichologa Level 11
@MicroLvl7 · X

RT @gloefece_: @martaaaapc https://t.co/iryjBtcDlk https://t.co/4ykrtL1E0W

May 25, 2023 · 7 shares · 398 followers View post →
tu vecino y amigo Juan Antonio ❁
@chungopailot · X

RT @gloefece_: @martaaaapc https://t.co/iryjBtcDlk https://t.co/4ykrtL1E0W

May 25, 2023 · 7 shares · 4,647 followers View post →
glorichi
@gloefece_ · X

@martaaaapc https://t.co/iryjBtcDlk https://t.co/4ykrtL1E0W

May 25, 2023 · 18 likes · 7 shares · 2,614 followers View post →
Joserra
@jramonfernandez · X

@Albaniact @Suesawsann @MamaconNeurofi1 @AhsleyAnn @Medicilio Pues esta Cochrane le da razón, es falso. Nivel máximo de evidencia científica. Buen día. https://t.co/HWyVzEOwuG

Aug 29, 2022 · 7 likes · 49,579 followers View post →
Līga Vasara-Brakmane
@LigaVasara · X

@mekleju_mieru @debes_manna @DianaZandePar Tas pēc Cohraine pārskata un šis efekts saglabājas gan vecos, gan jaunos pētījumos. Asistētas dzemdības (vakuums) agrāk bija biežāk, jaunākajos pētījumos vairs nē, varbūt iemācījušies labāk dot devas, lai mamma var labāk stumt, bērns iegrozīties https://t.co/hyjDgekB4t

Jul 18, 2022 · 1,553 followers View post →
Shawn Gallagher
@ChildbirthJoy · X

1/ Epidural use in childbirth is deemed "safe" for mother & baby. But the fentanyl/cocaine-based drugs cross the placenta to the baby. It's like giving an infant fentanyl in IV form. Epidurals are an amazing technology, but Informed Choice is needed. https://t.co/vz5KKTGghS

May 29, 2022 · 1,612 followers View post →
Mike Saff
@SAFONOVM · X

@mopey_girl Материнская смертность в России практически такая же, как в США 9-10 на 100 тыщ. То есть безопаснее, чем на машине ездить. Детская смертность такая же как в восточной Европе 6 на тысячу. Эпидуралка на сегодня самый эффективный метод обезболивания https://t.co/XqoVargDX7

Dec 24, 2021 · 38 followers View post →
Peggy Hector Blas, MD, PhD
@deltabloqueante · X

@RobertoDeNiroh @bephantol https://t.co/CiSjLwMwUN resumo conclusiones para quien le interese

Apr 10, 2021 · 5 likes · 3,235 followers View post →
Gill Moncrieff
@GillMoncrieff · X

@oxytocinmagic @TransformingMCC @LizNewnham @GriffithMidwife There is this one Jen, as well as the other Cochrane one https://t.co/KJGPTkXOvq

Sep 28, 2020 · 1 like · 2,709 followers View post →
Paul
@alassesingollo · X

Epidural versus non‐epidural or no analgesia for pain management in labour https://t.co/yuTaqpCdSF https://t.co/yuTaqpCdSF

Jan 10, 2019 · 1,461 followers View post →