Lumbar epidural analgesia in labour: a 24-hour service provided by obstetricians.
نویسندگان
چکیده
Of 309 consecutive cases of epidural analgesia provided by obstetricians, 250 set up by junior obstetric staff. Midwives managed the epidural analgesia and gave the top-up doses as part of their traditional role in providing pain relief in labour. This practice was thought to be influential in producing a high sponn epidural analgesic service can safely be provided by obstetricians in a small maternity hospital.
منابع مشابه
Status of obstetric epidural analgesia services in Hong Kong public hospitals: postal questionnaire survey.
OBJECTIVE To examine the status of obstetric epidural analgesia services in Hong Kong public hospitals in 2001, and to compare findings with those from a similar survey conducted in 1995. DESIGN Postal questionnaire survey. SETTING Hospital Authority hospitals in Hong Kong offering an obstetric and delivery service. PARTICIPANTS Chiefs of Service of departments of anaesthesia and coordina...
متن کاملA review of obstetric epidural anaesthesia, British Military Hospital, Rinteln 1980-1985.
A retrospective study was undertaken of all epidurals inserted on the labour ward in BMH Rinteln from 1980 to 1985 inclusive, during which time both obstetricians and anaesthetists participated in providing an epidural service. It was impossible to show any difference between the expertise of anaesthetists and obstetricians in siting epidurals, when the incidence of complications or failed anal...
متن کاملFluid loading to reduce abnormalities of fetal heart rate and maternal hypotension during epidural analgesia in labour.
Fetal heart rate (FHR) was recorded and maternal blood pressure measured in 104 patients in whom lumbar epidural analgesia was induced in labour. Fifty-one patients received an intravenous load of 11 of Hartmann's solution immediately before the epidural injection. This infusion significantly reduced the incidence of abnormalities of FHR from 34% to 12% and of maternal hypotension from 28% to 2...
متن کاملLumbar epidural analgesia in labour: relation to fetal malposition and instrumental delivery.
The incidence of instrumental delivery and malposition immediately before delivery was compared in patients who were given lumbar epidural analgesia and those who were not. Instrumental delivery was five times more common and a malposition of the fetal head was more than three times as common in the epidural group as in women who did not receive regional analgesia. Similar incidences were found...
متن کاملمقایسه میزان بی‌دردی در سیر زایمان در دو روش اسپانیال (با استفاده از سوفنتانیل) و اپیدورال(با استفاده از بوپوواکائین و لیدوکائین)
Background and purpose: This study was designed in order to compare the effects of spinal and epidural analgesia on labour and also several maternal and fetal factors in vaginal delivery. Materials and Methods: The study was a randomized clinical trail and participatnts were 120 gravid 1 and gravid 2 women in the active phase of delivery, admitted to the labour room of Fatemieh Hospital in...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- British medical journal
دوره 2 6083 شماره
صفحات -
تاریخ انتشار 1977