Epidural Analgesia for Planned Vaginal Delivery Following Previous Cesarean Section
作者:
V RUDICK,
D NIV,
M HETMAN-PERI,
E GELLER,
A AVNI,
A GOLAN,
期刊:
Obstetrics & Gynecology
(OVID Available online 1984)
卷期:
Volume 64,
issue 5
页码: 621-623
ISSN:0029-7844
年代: 1984
出版商: OVID
数据来源: OVID
摘要:
The effect of lumbar epidural on the course of labor, delivery, and outcome was studied in 115 parturients with a previous cesarean section who were given a trial of vaginal delivery. One hundred three women were multiparous and 12 were grandmultiparous. Uterine contractions and fetal heart rate (FHR) were monitored continuously in all patients. Epidural block was performed using 8 mL of 0.35% bupivacaine without adrenaline. Supplemental doses were administered through an indwelling catheter. At the beginning of the second stage, 10 mL of 0.25% bupivacaine was added in the sitting position. Forty-eight women delivered spontaneously and 54 had an assisted second stage. Thirteen women delivered by a repeat low segmental cesarean section; dehiscence was observed in only one woman. Fetal outcome was satisfactory and similar to that of the authors' general parturient population.
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