Epidural analgesia given during labor does not result in higher incidences of long-term low back pain, disability, or movement restriction compared with other methods of pain relief. Although epidural analgesia is given to some 100,000 British women each year during labour, little is known on long-term effects.
Anecdotal reports or case series have concentrated on more severe side effects, such as extremely rare neurological complications, and earlier studies into back pain and epidural analgesia have produced inconsistent results.
In light of the great human, medical, and economic costs of chronic low back pain, Dr. Charlotte Howell, anaesthetist, and colleagues at the Academic Department of Obstetrics and Gynaecology, North Staffordshire Hospital, Stoke on Trent, England carried out a comparative, randomised, controlled trial. In the study, 123 women in labour received epidural anesthesia and 133 received non-epidural pain relief.
There were no significant demographic or other differences between the groups. At follow-up at a mean of 26 months, clinicians assessed self-reported low back pain, disability, and limitation of movement through individual interviews between patients and physiotherapists, a questionnaire on back pain and disability, and physical measurements of spinal mobility.
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