Document Detail


Simple management of poor cervical progression during labor by continuous epidural analgesia.
MedLine Citation:
PMID:  2215107     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A series of 112 primiparous parturients in labor with poor cervical progression were managed according to the double-lined labor nomogram. These patients all had labor progression beyond the alert line which were defined as poor cervical progression. Continuous low concentrated marcaine (0.125%) epidural analgesia were then offered to these indicated patients. These 112 poor labors were compared with 143 poor cervical progression labors without epidural analgesia in terms of mode of delivery and maternal morbidities. The results showed a decrease in cesarean section rate in cases with epidural analgesia (20.5% vs 34.3%, p less than 0.05) but no increase use of instrumentation was noted, also, maternal morbidities were much less in epidural cases compared to poor labors without epidural analgesia (6 in 112 vs 19 in 143, p less than 0.05). Continuous epidural analgesia performed on labors with poor progression improved the labor outcome and decrease maternal morbidities satisfactorily.
Authors:
K K Chu; S D Chang; C J Lee; Y L Hui
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ma zui xue za zhi = Anaesthesiologica Sinica     Volume:  28     ISSN:  -     ISO Abbreviation:  Ma Zui Xue Za Zhi     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-11-15     Completed Date:  1990-11-15     Revised Date:  2014-07-14    
Medline Journal Info:
Nlm Unique ID:  8200948     Medline TA:  Ma Zui Xue Za Zhi     Country:  TAIWAN    
Other Details:
Languages:  eng     Pagination:  197-201     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Analgesia, Epidural*
Analgesia, Obstetrical*
Bupivacaine / administration & dosage
Cervix Uteri / physiology
Female
Humans
Labor, Obstetric / drug effects*
Obstetric Labor Complications / therapy
Pregnancy
Chemical
Reg. No./Substance:
Y8335394RO/Bupivacaine

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


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