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Research ArticleOriginal Article

Intrapartum Intervention And Delivery Outcome In Low-Risk Pregnancy

Cheri L. Olson, Benjamin W. Chaska, Patricia M. Grambsch, Christine M. Wiltgen and Robert E. Nesse
The Journal of the American Board of Family Practice March 1991, 4 (2) 83-88; DOI: https://doi.org/10.3122/jabfm.4.2.83
Cheri L. Olson
From the Department of Family Medicine and the Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, MN. Address reprint requests to Robert E. Nesse, M.D., 200 First Street S.W., Rochester, MN 55905.
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Benjamin W. Chaska
From the Department of Family Medicine and the Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, MN. Address reprint requests to Robert E. Nesse, M.D., 200 First Street S.W., Rochester, MN 55905.
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Patricia M. Grambsch
From the Department of Family Medicine and the Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, MN. Address reprint requests to Robert E. Nesse, M.D., 200 First Street S.W., Rochester, MN 55905.
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Christine M. Wiltgen
From the Department of Family Medicine and the Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, MN. Address reprint requests to Robert E. Nesse, M.D., 200 First Street S.W., Rochester, MN 55905.
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Robert E. Nesse
From the Department of Family Medicine and the Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, MN. Address reprint requests to Robert E. Nesse, M.D., 200 First Street S.W., Rochester, MN 55905.
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Abstract

A retrospective cohort study of 1597 low-risk pregnancies assessed the effects of obstetrical intervention using logistic regression. Both maternal and neonatal morbidity were low (15.2 percent and 3.8 percent, respectively). Epidural analgesia, oxytocin, or both, were associated with worse maternal outcome, and neonatal outcome was worse when oxytocin was used. However, epidural analgesia seemed to provide a protective neonatal effect when oxytocin was used during labor. Both elective and medically necessary use of these interventions were associated with increased morbidity. If obstetrical interventions, particularly oxytocin and epidural analgesia, are applied in low-risk pregnancies, labors must be monitored carefully and the risk-benefit ratios judged advantageous.

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The Journal of the American Board of Family     Practice: 4 (2)
The Journal of the American Board of Family Practice
Vol. 4, Issue 2
1 Mar 1991
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Intrapartum Intervention And Delivery Outcome In Low-Risk Pregnancy
Cheri L. Olson, Benjamin W. Chaska, Patricia M. Grambsch, Christine M. Wiltgen, Robert E. Nesse
The Journal of the American Board of Family Practice Mar 1991, 4 (2) 83-88; DOI: 10.3122/jabfm.4.2.83

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Intrapartum Intervention And Delivery Outcome In Low-Risk Pregnancy
Cheri L. Olson, Benjamin W. Chaska, Patricia M. Grambsch, Christine M. Wiltgen, Robert E. Nesse
The Journal of the American Board of Family Practice Mar 1991, 4 (2) 83-88; DOI: 10.3122/jabfm.4.2.83
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