Document Detail

Trial of labor: a study of 110 patients.
MedLine Citation:
PMID:  1878234     Owner:  NLM     Status:  MEDLINE    
STUDY OBJECTIVE: The purpose of the study was to determine whether epidural analgesia is unsafe for trial of labor (TOL). DESIGN: Retrospective chart review. SETTING: Inpatient obstetric department at a university medical center. PATIENTS: One hundred ten ASA physical status I and II term parturients who attempted a TOL between December 1987 and June 1988. INTERVENTIONS: All the parturients previously had low transverse uterine incisions and received continuous electronic fetal and uterine pressure monitoring throughout labor. All the parturients were offered epidural analgesia during labor with bupivacaine 0.25%. MEASUREMENTS AND MAIN RESULTS: Sixty-seven percent of the parturients had successful vaginal delivery. Fifty-one of the 110 parturients had epidural analgesia for labor. There were two complete uterine ruptures; neither had epidural catheters. Both of the complete ruptures presented with monitored fetal distress rather than abdominal pain. Both mothers and their infants recovered uneventfully. CONCLUSIONS: Uterine rupture presents as monitored fetal distress rather than abdominal pain. Thus, epidural analgesia can be used in patients attempting a TOL.
C Johnson; N Oriol; K Flood
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  3     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:    1991 May-Jun
Date Detail:
Created Date:  1991-10-03     Completed Date:  1991-10-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  216-8; discussion 214-5     Citation Subset:  IM    
Department of Anesthesia, Beth Israel Hospital, Boston, MA.
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MeSH Terms
Analgesia, Epidural*
Analgesia, Obstetrical*
Bupivacaine / administration & dosage
Fetal Distress / etiology
Fetal Monitoring
Monitoring, Physiologic
Retrospective Studies
Trial of Labor*
Uterine Contraction / physiology
Uterine Rupture / etiology
Reg. No./Substance:

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

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