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June 9, 1999

Epidural Analgesia and Cesarean Delivery

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(22):2084-2087. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-22-jbk0609

To the Editor: Dr Halpern and colleagues1 conclude in their meta-analysis of 7 trials that there is no association between epidural analgesia and cesarean delivery. Based on an examination of the 3 largest studies,24 which comprise 80% of the subjects in their analysis and largely determine the results, we believe that their conclusion is premature.

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