What do systematic reviews say?

Remifentanil (PCA) vs another opioid (PCA)

• Patient‐controlled analgesia with remifentanil versus alternative parenteral methods for pain management in labour 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 17 participants
  Very low

Remifentanil (PCA) vs epidural/CSE

Remifentanil (PCA) showed no clear difference in apgar score ≤ 7 (< 7) at 5 min compared with epidural/CSE (low certainty).

• Patient‐controlled analgesia with remifentanil versus alternative parenteral methods for pain management in labour 2017 · Cochrane Headline outcomes only
  RR 1.26 [0.62, 2.57]
  5 studies · 1322 participants
  Low

Remifentanil (PCA) vs remifentanil (continuous IV)

• Patient‐controlled analgesia with remifentanil versus alternative parenteral methods for pain management in labour 2017 · Cochrane Headline outcomes only
  no estimate extracted
  0 studies · 0 participants
  GRADE not reported

Remifentanil (PCA) vs another opioid (IV/IM)

• Patient‐controlled analgesia with remifentanil versus alternative parenteral methods for pain management in labour 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 88 participants
  Very low

Remifentanil (PCA, increasing bolus dose) vs remifentanil (PCA, increasing infusion dose)

• Patient‐controlled analgesia with remifentanil versus alternative parenteral methods for pain management in labour 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 20 participants
  Low