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PICOT Question </o:p>

For nulliparous women, does administration of epidural analgesia for pain management in early labor compared to no epidural analgesia prolong labor and lead to instrumental deliveries? </o:p>

P: Nulliparous Women</o:p>

I: Epidural Analgesia</o:p>

C: No Epidural</o:p>

O: Prolong labor and instrumental deliveries.</o:p>

T: Early stage of Labor</o:p>

Epidural analgesia is the most often used pain relief method during labor. There have been many studies reporting a higher incidence of operative vaginal deliveries, longer duration of labor and more frequent use of oxytocin than in labor without analgesia.</o:p>

Write a paper (1,500-2,000 words) in which you analyze and appraise each of the (15) articles identified in Module 1. Pay particular attention to evidence that supports the problem, issue, or deficit, and your proposed solution.</o:p>

Hint: The Module 2 Readings provide appraisal questions that will assist you to efficiently and effectively analyze each article.</o:p>

Refer to Sample Format for Review of Literature, RefWorks, and Module 2: Checklist. </o:p>

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.</o:p>

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