Severe Uterine Hypertonus during Cesarean Section Relieved by Large Doses of Nitroglycerin
نویسندگان
چکیده
A 36 years old female Gravida 3 Para 1 Aborta 1 presented at 35+2 weeks of gestation with increased frequency and intensity of her uterine contractions. An epidural catheter was inserted at L3-L4 interspace for labor analgesia. A decision was made for Cesarean delivery due to the transverse presentation of the baby. The epidural catheter was loaded by a bolus of 10 ml lidocaine 2%, 5 ml bupivacaine 0.1% and 1ml of fentanyl 50 mcg/ml. Few minutes later; severe uterine hypertonus was noted impairing the delivery of the baby. Very large doses of nitroglycerin (a total dose of 1.3 mg) were needed for uterine relaxation.
منابع مشابه
درمان محافظتی در چسبندگی‌های غیرطبیعی جفت پیش از سزارین با آمبولیزاسیون شریان رحمی: گزارش دو مورد
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