RT Journal Article SR Electronic T1 Intrapartum Intervention And Delivery Outcome In Low-Risk Pregnancy JF The Journal of the American Board of Family Practice JO J Am Board Fam Med FD American Board of Family Medicine SP 83 OP 88 DO 10.3122/jabfm.4.2.83 VO 4 IS 2 A1 Olson, Cheri L. A1 Chaska, Benjamin W. A1 Grambsch, Patricia M. A1 Wiltgen, Christine M. A1 Nesse, Robert E. YR 1991 UL http://www.jabfm.org/content/4/2/83.abstract AB 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.