Abstract

Recently, two systematic reviews dealing with effects of epidural analgesia on labour, maternal and neonatal outcomes were published in the same supplement of American Journal of Obstetrics and Gynecology.1,2 Unintended effects of labour analgesia have for decades been the subject of controversy, as illustrated by these two articles which had a fairly contradictory interpretation of available scientific data. Typically enough, these reviews represent anesthesiological versus obstetrical/perinatological points of view. One of the most recent, yet unresolved, controversies deals with increased likelihood of maternal intrapartum fever associated with epidural analgesia first described more than ten years ago.3,4

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