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Neuraxial Labor Analgesia for Vaginal Delivery and Its Effects on Childhood Learning Disabilities
Author(s) -
Randall P. Flick,
Lee Kunmoo,
R Höfer,
Charles W. Beinborn,
Ellen M. Hambel,
Melissa Klein,
Paul W. Gunn,
Robert T. Wilder,
Slavica K. Katusic,
Darrell R. Schroeder,
David O. Warner,
Juraj Šprung
Publication year - 2011
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0b013e3181f2ecdd
Subject(s) - medicine , vaginal delivery , cohort , cohort study , incidence (geometry) , hazard ratio , confidence interval , population , univariate analysis , obstetrics , pediatrics , pregnancy , multivariate analysis , genetics , physics , environmental health , optics , biology , pathology
In prior work, children born to mothers who received neuraxial anesthesia for cesarean delivery had a lower incidence of subsequent learning disabilities compared with vaginal delivery. The authors speculated that neuraxial anesthesia may reduce stress responses to delivery, which could affect subsequent neurodevelopmental outcomes. To further explore this possibility, we examined the association between the use of neuraxial labor analgesia and development of childhood learning disabilities in a population-based birth cohort of children delivered vaginally.

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