Article: Low-dose mobile epidurals boost vaginal births. (Study Compares Low and High Doses).

HILTON HEAD, S.C. - Women who have low-dose "mobile" epidurals may itch a bit more, but they're also more likely to have spontaneous vaginal deliveries than are women who have traditional, high-dose neuraxial analgesia, Dr. Pamela Angle said.

The findings of her metaanalysis lend more weight to the notion that so-called mobile epidurals, which use low doses of analgesia to preserve motor function, reduce the odds of a woman requiring an instrumental delivery. Still, low-dose epidurals don't make much of a dent in cesarean section rates, Dr. Angle said in a poster presentation at the annual meeting of the Society for Obstetric Anesthesia and Perinatology.

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