PMID: 1202900Jan 1, 1975Paper

Continuous epidural anaesthesia with a low frequency of instrumental deliveries

Acta Obstetricia Et Gynecologica Scandinavica
J M Maltau, H T Andersen

Abstract

The results of 204 cases of regional analgesia by means of continuous epidural block during labour and delivery are reported. The frequency of instrummental intervention using forceps or the vacuum extractor is low, less than 15% for primi- and multi-gravidas combined, although pathological conditions were recognized prior to blockade in almost one-third of the parturients. Moreover, the frequency of emergency Caesarean section has dropped significantly since epidural anaesthesia was introduced into the clinic. The 1 min Apgar scores of babies born to mothers given epidural anaesthesia are similar to those of babies born to mothers receiving conventional analgesic agents. The amount of blood lost by mothers given epidural anaesthesia was, on average, 15% less than in a control group. It is concluded that the essential feature of our technique of administering continuous regional analgesia is a selective block of small pain fibres with the deep tactile sensations largely intact, and the motor pathways virtually unaffected. This has been achieved using small doses of bupivacaine 0.25% concentration and meticulous observation of the individual patient.

Citations

Jan 1, 1989·European Journal of Obstetrics, Gynecology, and Reproductive Biology·T Philipsen, N H Jensen
May 1, 1993·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S Lurie, V Priscu
Oct 1, 1986·Parasitology Today·R E Phillips, D A Warrell
Jan 1, 1997·International Journal of Obstetric Anesthesia·A C Miller
Jan 1, 1975·Acta Anaesthesiologica Scandinavica·J M MaltauS Skrede
Jan 1, 1975·Acta Anaesthesiologica Scandinavica·J M Maltau, H T Andersen
Sep 1, 1989·American Journal of Obstetrics and Gynecology·J A ThorpD A Johnston
Mar 1, 1991·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·S LurieA Matzkel
Oct 1, 1982·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·C J Chandler, B A Davidson
Apr 1, 1980·Acta Anaesthesiologica Scandinavica·J M Maltau, K Egge
Jul 15, 1979·American Journal of Obstetrics and Gynecology·J M MaltauK T Stokke
Jan 1, 1986·Annales Françaises D'anesthèsie Et De Rèanimation·J P Haberer, C Monteillard

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