American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Dec 1997
Randomized Controlled Trial Clinical TrialNulliparous active labor, epidural analgesia, and cesarean delivery for dystocia.
Our purpose was to examine the effect of epidural analgesia on dystocia-related cesarean delivery in actively laboring nulliparous women. ⋯ With strict criteria for the diagnosis of labor and with use of a rigid protocol for labor management, there was no increase in dystocia-related cesarean delivery with epidural analgesia.