Question · asked by 1 review

Early initiation of epidural analgesia vs Late initiation: Caesarean section

Population
pregnant women (at term) requesting epidural analgesia in labour (regardless of whether the labour was spontaneous or induced)
Intervention
Early initiation of epidural analgesia
Comparison
Late initiation
Outcome
Caesarean section

Early initiation of epidural analgesia showed no clear difference in caesarean section compared with late initiation (high certainty).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Early initiation of epidural analgesia vs Late initiation
Caesarean section · pregnant women (at term) requesting epidural analgesia in labour (regardless of whether the labour was spontaneous or…
Early initiation of epidural analgesia showed no clear difference in caesarean section compared with late initiation (high certainty).
Early versus late initiation of epidural analgesia for labour (2014) · Cochrane Headline outcomes only
RR 1.02 [0.96, 1.08]9 studies · 15499 participantsHigh

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Early versus late initiation of epidural analgesia for labour
2014 · Cochrane Headline outcomes only
Not reportedNot extractedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.