| Continuous infusion epidural analgesia with lidocaine: efficacy and influence during the second stage of labor. | |
| | |
MedLine Citation:
|
PMID: 3822279 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A randomized double-blind study evaluated the analgesic efficacy and influence of maintaining a continuous epidural infusion of 0.75% lidocaine during the second stage of labor in nulliparous women. When the cervix was 8 cm or more dilated, unidentified study solution was substituted for the known 0.75% lidocaine solution and continued until delivery. The study solution for 26 patients was 0.75% lidocaine; 27 subjects received saline. During the first stage of labor, 88% of women in the lidocaine group and 81% of women in the saline group had analgesia of excellent or good quality, a nonsignificant difference. During the second stage, there was a tendency (not statistically significant) toward improved analgesia quality in the lidocaine patients, but there was no significant difference in the frequency of perineal anesthesia (23% lidocaine, 7% saline). There was no difference between the groups in the duration of the second stage of labor (73 +/- 63 versus 76 +/- 48 minutes). Operative delivery frequency was similar (31 and 37%), as were umbilical cord blood acid-base values. It is concluded that maintenance of the continuous epidural infusion of 0.75% lidocaine did not prolong the second stage of labor, but it also did not significantly differ from saline in quality of second stage analgesia or frequency of perineal anesthesia. |
| | |
Authors:
|
D H Chestnut; J N Bates; W W Choi |
Related Documents
:
|
16776629 - Cardiac troponin t and amino-terminal pro-natriuretic peptide concentrations in fetuses... 15592289 - Sleep in late pregnancy predicts length of labor and type of delivery. 8378009 - Pregnancy after mustard repair for transposition of the great arteries. 7857459 - A time to be born: implications of animal studies in maternal-fetal medicine. 3472249 - Increases of plasma eosinophil major basic protein levels late in pregnancy predict ons... 15145259 - Maternal serum levels of dehydroepiandrosterone sulfate and labor induction in postterm... 8606939 - Interferon, the oxytocin receptor and the maternal recognition of pregnancy in ruminant... 11914699 - Prolonged pregnancy. 22365339 - Developmental capacity of in vitro-matured human oocytes retrieved from polycystic ova... |
Publication Detail:
|
Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
|
Title: Obstetrics and gynecology Volume: 69 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 1987 Mar |
Date Detail:
|
Created Date: 1987-03-30 Completed Date: 1987-03-30 Revised Date: 2009-10-26 |
Medline Journal Info:
|
Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 323-7 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anesthesia, Epidural* Anesthesia, Obstetrical* Double-Blind Method Female Humans Labor Stage, Second* Labor, Obstetric* Lidocaine* Pregnancy Random Allocation |
| Chemical | |
Reg. No./Substance:
|
137-58-6/Lidocaine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Efficacy of combined administration of magnesium sulfate and ritodrine in the treatment of premature...
Next Document: Effect of type of anesthesia on blood loss at cesarean section.