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- W2022155575 abstract "To the Editor: We are reassured that Macarthur and colleagues [1], in a follow-up to their previous article [2], found no difference in the prevalence of backache at 1 yr between women who did and did not receive epidural analgesia during labor. We are surprised that their MEDLINE search (1966-1996) revealed no prospective studies from this side of the Atlantic. In June 1996, we published a prospective study of causative factors for postnatal back pain in the British Medical Journal [3]. We studied women randomized to receive epidural infusions of bupivacaine either 0.125% alone or 0.0625% with fentanyl, together with a group using other forms of labor analgesia. A total of 599 women were recruited, with 75% responding to a questionnaire 3 mo later. There were no differences among the groups in the incidence of new postpartum backache (0.125% bupivacaine 6.4%, 0.0625% bupivacaine 8.6%, nonepidural 6.9%). Antenatal backache was reported by 51% of women, a realistic figure [4]; moreover, previous backache was the only significant predictor of postpartum backache. To ignore gestational backache, Macarthur et al. introduce a source of error. Furthermore, there are several causes for postpartum backache [5], and any prospective study should surely include an attempt at diagnosis. Robin Russell, MD, FRCA Nuffield Department of Anaesthetics; John Radcliffe Hospital; Oxford OX3 9DU, UK Felicity Reynolds, MD, FRCA, FRCOG Department of Obstetric Anaesthesia; St Thomas' Hospital; London SE1 7EH, UK We failed to obtain a response from Dr. Macarthur." @default.
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- W2022155575 date "1998-09-01" @default.
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- W2022155575 title "Epidural Analgesia and Chronic Backache" @default.
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- W2022155575 doi "https://doi.org/10.1097/00000539-199809000-00063" @default.
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