title: [Epidural analgesia during childbirth].
abstract: Epidural analgesia is the most effective means of pain relief during labor and is considered to be the "gold standard". For sufficient epidural analgesia, a wide range of nerve-block has to cover the segments Th10 to S4. This article includes the pathophysiological background as well as aspects of risk information and informed consent. Practical issues such as the insertion of the epidural catheter, choice of medication and application modes are described. The influence of epidural analgesia on labor, instrumental delivery and rate of caesarean section is discussed.
authors.affiliation: Klinik für Anästhesiologie und Operativen Intensivmedizin, Klinikum Augsburg.
authors.forename: D
authors.initials: D
authors.lastname: Crass
authors.forename: J
authors.initials: J
authors.lastname: Friedrich
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects; D016362:Analgesia, Obstetrical / Q000009:adverse effects; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007743:Labor, Obstetric / Q000502:physiology; D009407:Nerve Block; D011247:Pregnancy
chemical_list: D000779:Anesthetics, Local
vernacular_title: Die Epiduralanalgesie zur Geburtshilfe.