Effects of epidural anesthesia on I and II delivery stage and on a newborn

Epidural anaesthesia (EA) is the most efficient method of pain reduction and its total elimination during delivery. The aim of this study was to establish an influence of EA on the first and the second part of delivery process, frequency of vacuum extractor and forceps appliance, and the effect of E...

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Bibliographic Details
Published in:	Vojnosanitetski pregled Vol. 66; no. 4; pp. 319 - 322
Main Authors:	Cutura, Nedo, Soldo, Vesna, Curković, Aleksandar, Tomović, Branko, Mitrović, Tanja
Format:	Journal Article
Language:	English Serbian
Published:	Serbia Military Health Department, Ministry of Defance, Serbia 01-04-2009
Subjects:	Anesthesia, Epidural Anesthesia, Obstetrical Anesthetics, Local Apgar Score Bupivacaine Delivery, Obstetric Female Humans Infant, Newborn Obstetrical Forceps Pregnancy surgical instruments Vacuum Extraction, Obstetrical
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Summary:	Epidural anaesthesia (EA) is the most efficient method of pain reduction and its total elimination during delivery. The aim of this study was to establish an influence of EA on the first and the second part of delivery process, frequency of vacuum extractor and forceps appliance, and the effect of EA on the newborn. A total of 360 patients with EA were analysed at delivery and 1130 controls without EA. Both groups had vaginal delivery. In both groups deliveries were stimulated by 10 IU of oxytocin in 500 mL of crystalloid solvent, with 15-20 drops per minute. As anaesthetic, Bupivacain (0.25% or 0.125%) was used by the 18 G catheters Braun and Wigon. Level of application was L2-L3 part of spine. The results of this study indicate that deliveries with EA were shorter in duration, but also had much more vacuum extractor and forceps appliance (over 2.5 times) than those without EA. Apgar score was significantly higher in the experimental group with multiple deliveries. However, there was no significant deference between avarage Apgar score of newborns of patients with EA and that of newborns of patients without EA. Application of EA decreases duration of delivery, and has no any adverse effects on newborns.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23
ISSN:	0042-8450 2406-0720
DOI:	10.2298/VSP0904319C