Document Detail


Prospective case control comparison of fetal intrapartum oxygen saturations during epidural analgesia.
MedLine Citation:
PMID:  19945845     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The purpose of this study was to compare fetal oxygen saturation by fetal pulse oximetry in parturients with and without epidural labor analgesia in a prospective case control study. METHODS: Fetal oxygen saturation values were compared in term pregnant women who received epidural analgesia (epidural group) with those in women who did not (control group). Mode of delivery, Apgar score, fetal oxygen saturation, cord blood gas analysis and fetal outcomes were also compared. RESULTS: A total of 150 pregnant women (75 in each group) gave written consent and were enrolled. The average fetal oxygen saturation during the first stage of labor (active phase) was 45.6 +/- 8.1% for the epidural group and 45.9 +/- 7.4% for the control group (NS); saturations for the second stage of labor were 44.9 +/- 8.8% and 45.3 +/- 6.7%, respectively (NS). In the epidural group, the duration of the first stage of labor was significantly longer (565 +/- 217 min) than the control group (434 +/- 222 min; P= 0.001). Cesarean delivery rates, neonatal cord blood gas analysis, Apgar scores, and neonatal outcomes were similar in the two groups. CONCLUSIONS: Fetal oxygen saturation values are similar in the first and second stage of labor in the presence or absence of epidural labor analgesia.
Authors:
E Caliskan; D Ozdamar; E Doger; Y Cakiroglu; A Kus; A Corakci
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Publication Detail:
Type:  Journal Article     Date:  2009-11-28
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  19     ISSN:  1532-3374     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-19     Completed Date:  2010-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  77-81     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Elsevier Ltd. All rights reserved.
Affiliation:
Kocaeli University School of Medicine, Department of Obstetrics & Gynecology and Anesthesiology, Kocaeli, Turkey. dryigit1@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Epidural*
Anesthesia, Obstetrical*
Case-Control Studies
Female
Fetus / metabolism*
Humans
Infant, Newborn
Labor, Obstetric / physiology
Oximetry
Oxygen / blood*
Oxytocin / pharmacology
Pregnancy
Pregnancy Outcome
Prospective Studies
Chemical
Reg. No./Substance:
50-56-6/Oxytocin; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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