THE EFFECT OF CONTINUOUS LUMBAR EPIDURAL ANALGESIA UPON FETAL ACID-BASE STATUS DURING THE SECOND STAGE OF LABOUR

1974 ◽  
Vol 81 (12) ◽  
pp. 975-979 ◽  
Author(s):  
James F. Pearson ◽  
Paul Davies
Keyword(s):  
Epidural Analgesia ◽  
Acid Base ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Lumbar Epidural Analgesia ◽  
Acid Base Status

scholarly journals Clincial Experience with Patient-Controlled and Staff-Administered Intermittent Bolus Epidural Analgesia in Labour

1995 ◽  
Vol 23 (4) ◽  
pp. 459-463 ◽  
Author(s):  
M. J. Paech ◽  
T. J. G. Pavy ◽  
C. Sims ◽  
M. D. Westmore ◽  
J. M. Storey ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Randomized Study ◽  
Obstetric Delivery ◽  
Second Stage ◽  
Intermittent Bolus ◽  
Second Stage Of Labour ◽  
Pain Scores ◽  
Maximum Pain ◽  
Delivery Unit ◽  
Ib Method

A prospective randomized study was Performed to detail clinical experience with both patient-controlled epidural analgesia (PCEA) and midwife-administered intermittent bolus (IB) epidural analgesia during labour, under the conditions pertaining in a busy obstetric delivery unit. Both methods used 0.125% bupivacaine plus fentanyl, and similar rescue supplementation although management decisions related to epidural analgesia were made principally by attending midwives One hundred and ninety-eight women were recruited and data analysed from 167 (PCEA n = 82 IB n=85) The groups were demographically similar. Median hourly pain scores, ratings of analgesia and satisfaction did not differ Maximum pain scores were significantly higher in those receiving IB epidural analgesia (P<0.05). The PCEA group had a significantly higher rate of supplementation and bupivacaine use (P<0.01), and a longer duration of the second stage of labour (P<0.03) The relative risk of instrumental delivery with PCEA versus the IB method was 1.57 (CI 1.07–2.38) Experience within our unit with PCEA is contrasted with that of IB epidural analgesia, the method most commonly used; and with that of controlled trials comparing these two methods.

Oxytocin Infusion During Second Stage of Labour in Primiparous Women using Epidural Analgesia

1990 ◽  
Vol 45 (7) ◽  
pp. 457
Author(s):  
NIGEL J. ST. G. SAUNDERS ◽  
HELEN SPIBY ◽  
LUCY GILBERT ◽  
ROBERT B. FRASER ◽  
JACQUELINE M. HALL ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Oxytocin Infusion ◽  
Primiparous Women
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