Epidural analgesia and uterine function
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Cited by (71)
Factors that affect ultrasound-determined labor progress in women undergoing induction of labor
2019, American Journal of Obstetrics and GynecologyOxytocin administration during spontaneous labor: Guidelines for clinical practice. Chapter 7: Epidural analgesia and use of oxytocin during spontaneous labor
2017, Journal of Gynecology Obstetrics and Human ReproductionCitation Excerpt :In several cases (6/56), the amplitude of the contractions then diminished, but spontaneously returned to the preplacement level in less than 20 min [19]. A prospective case-control observational study [20] included 62 consecutive women receiving epidural analgesia, matched with 124 of the same parity who received systemic analgesia (meperidine promethazine). The epidural was placed on average at 6 cm and induced and maintained by continuous concentrated local anesthetics (bupivacaine 0.25% then 0.125% and fentanyl).
Diagnosis and management of clinical chorioamnionitis
2010, Clinics in PerinatologyCitation Excerpt :Clinical chorioamnionitis carries adverse consequences affecting women and their infants (see Fig. 2). Chorioamnionitis leads to a 2- to 3-fold increased risk for cesarean delivery and a 2- to 4-fold increase in endomyometritis, wound infection, pelvic abscess, bacteremia, and postpartum hemorrhage.12,52–55 The increase in postpartum hemorrhage seems due to dysfunctional uterine muscle contractions as a result of inflammation.53,54
Butorphanol-bupivacaine versus fentanyl-bupivacaine for extradural analgesia during labour
2006, Medical Journal Armed Forces IndiaCitation Excerpt :A caesarian rate of 12.5% in our study is comparable with that by Norris and Fogel of 13.4% (149/1112 patients) [11] with similar indications in the two studies. Newton and colleagues compared myometral activity in those receiving bupivacaine/fentanyl epidural infusions with non-randomised controls receiving pethidine and reported no difference, although need for oxytocin was greater and the rate of cervical dilatation slower in the epidural group [12]. The satisfaction levels of parous women were higher compared to the nulliparous women.
Does obstetrical analgesia have an impact on the manner of childbirth?
2006, Praticien en Anesthesie Reanimation