Labour analgesia: what’s new and PCEA too?

Campbell, David

doi:10.1007/bf03018154

Cited by 8 publications

(5 citation statements)

References 41 publications

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“…To provide effective analgesia fentanyl was added which further reduced the amount of bupivacaine needed during labour. 5,6 We instituted epidural analgesia only after confirming that patient has entered active stage of labour.…”

Section: Discussionmentioning

confidence: 99%

Labour with low dose epidural analgesia: maternal perception and fetal outcome

Sawant

Kumbhar

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Experiencing labour pains and giving birth to infant is normal physiological process. Though it is a natural phenomenon, it produces severe pain which requires analgesia to relieve pain during labour. The objective of this study was to compare effects of low dose epidural analgesia verses no analgesia during labour on mother and fetus. Methods: Here in this study we have assessed effect of epidural analgesia on mother and fetus. Total we have taken 60 women in age group of 20-26 years with full term pregnancy (37-42 weeks). Those who have entered spontaneous labour with vertex presentation, without any previous uterine surgery, clinically adequate pelvis. We had divided these women in 2 groups, 30 were given epidural analgesia and 30 without any analgesia. Variables recorded were pain score during labour using VAS, duration of labour during each stage, mode of delivery, Apgar score of newborn at 1 minute and 5 minutes. Results: Present study shows that duration of first stage of labour in epidural and non-analgesia group are same. Second stage of labour is prolonged in epidural group than non-analgesia group. Both groups had normal APGAR score. Epidural analgesia is not associated with any change in mode of delivery. Visual analogue scale is good with epidural analgesia. Conclusions: There was no significant difference in first stage of labour in both group. Second stage of labour was slightly prolonged in EA group than control, but it was less than two hours. No harmful neonatal outcome in epidural analgesia.

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Section: Discussionmentioning

confidence: 99%

Labour with low dose epidural analgesia: maternal perception and fetal outcome

Sawant

Kumbhar

2018

Int J Reprod Contracept Obstet Gynecol

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“…BCI group no women required anaesthetist intervention to give additional dose or adjust the infusion rate. In a busy obstetric unit with increased demand for epidural analgesia, this could reduce the work load of anaesthetist [1,9], although regular followup was still done by the anaesthetist.…”

Section: Discussionmentioning

confidence: 99%

“…To provide effective analgesia fentanyl was added which further reduced the amount of bupivacaine needed during labor [1,5].…”

Section: Discussionmentioning

confidence: 99%

“…These include intermittent boluses by clinicians, continuous infusion and patient controlled epidural analgesia (PCEA). The standard method of intermittent 'top-ups' by clinician can lead to dramatic swings in women's comfort due to unavoidable delays in delivery of subsequent injections [1]. Continuous epidural infusion provides a method of avoiding the swings of pain as a consequence of the wearing of the intermittent 'top-ups' [2].…”

Section: Introductionmentioning

confidence: 99%

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Low Dose Epidural Analgesia During Labor: Comparison Between Patient Controlled Epidural Analgesia with Basal Continuous Infusion and Intermittent Bolus Technique

Singh

Srivastava

2011

J Obstet Gynecol India

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“…Continuous infusions with patient-controlled top-ups are considered better than bolus-only technique. [25] Spinal Analgesia Intrathecal neuraxial analgesia is a safe and effective alternative to epidural anaesthesia. Single shot spinal with opioid or local anaesthetic plain, provides a good labour analgesia, especially early in labour, in distressed parturients, or as an analgesic for instrumental deliveries.…”

Section: Inhalational Analgesiamentioning

confidence: 99%

Anaesthesia and Analgesia for Labour and Vaginal Delivery for safe Obstetric Practice

Haleem¹

2017

AAN

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Labour analgesia: what’s new and PCEA too?

Cited by 8 publications

References 41 publications

Labour with low dose epidural analgesia: maternal perception and fetal outcome

Labour with low dose epidural analgesia: maternal perception and fetal outcome

Low Dose Epidural Analgesia During Labor: Comparison Between Patient Controlled Epidural Analgesia with Basal Continuous Infusion and Intermittent Bolus Technique

Anaesthesia and Analgesia for Labour and Vaginal Delivery for safe Obstetric Practice

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