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Evidence-based Obstetric Anesthesia
Since the introduction of anesthesia to obstetric prac-
tice by James Young Simpson in 1847, there have been
controversies concerning its use. In addition to the
larger issue of any medical intervention during normal
childbirth, the lay public and medical community have
struggled with the balance between the benefits and
the risks of analgesia and anesthesia to the mother and
fetus during labor and delivery. These controversies
persist despite numerous advances in our knowledge
about the physiology and pharmacology related to
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