The Influence of Continuous Epidural Bupivacaine Analgesia on the Second Stage of Labor and Method of Delivery in Nulliparous Women

Chestnut, D.H.; Vandewalker, G. E.; Owen, Cindy L.; Bates, James N.; Chol, Won W.

doi:10.1097/00000542-198706000-00011

Cited by 119 publications

(35 citation statements)

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“…This suggests that, when using a low dose infusion technique combining both local anaesthetic and opioid, it is not necessary to withhold epidural analgesia during the second stage of labour, sometimes advocated to prevent prolongation of labour [8]. Our results, however, concur with those of Elliott [Ill, who failed to demonstrate an effect on spontaneous delivery rates and neonatal outcome when epidural infusion analgesia was continued into the second stage.…”

Section: Discussionsupporting

confidence: 81%

Low dose bupivacaine/fentanyl epidural infusions in labour and mode of delivery

1994

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Section: Discussionsupporting

confidence: 81%

Low dose bupivacaine/fentanyl epidural infusions in labour and mode of delivery

1994

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“…APGAR score at 1 minute was 8 in 94% cases and APGAR at 5 minutes was 10 in 94% of cases. The result of the present study was similar to the studies conducted by Alberts et al 16 and Chestnut et al 17 …”

Section: Labour Pain Affects Almost All Systems In the Bodysupporting

confidence: 93%

Effect of Walking Epidural Dose on Labour Duration and Analgesia

Kothakoona¹,

Suryasree²,

P³

2016

jemds

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Walking or ambulation 1 during normal delivery (labour) is a popular choice for labour analgesia in recent trends, which allows the labouring mother to enjoy the childbirth with active and cheerful participation without any pain. AIMTo study the effect of Walking Epidural dose 2,3 on Labour duration and Analgesia. MATERIALS AND METHODSIn this Prospective Outcome Study, 30 Nulliparous women were given Epidural Analgesia with Ropivacaine and Fentanyl during Labour pain and studied the duration of Labour, Analgesia, and effects on Mother and Foetus. 4 RESULTSIn the present study with a Walking Epidural analgesia dose of 15 mL of 0.125% Ropivacaine 5 and Fentanyl 2 µg/mL. The onset of analgesia was 10 minutes and lasted for 3 hours 30 minutes. There is no effect on the duration of 1 st stage of Labour. APGAR score at 1 minute was 8 in 94% cases and APGAR at 5 minutes was 10 in 94% of cases. CONCLUSIONThe parturient participated actively in the process of childbirth without delay in the first stage of labour. Neither significant haemodynamic changes nor adverse effects were observed in both newborn and mother.

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“…This study has addressed two issues: firstly, is it safe for the mother to stand and walk with regional blockade and secondly, does it have a positive impact on the progress of labour by shortening the duration of labour and reducing the incidence of instrumental delivery [7,8]? There have now been studies that have shown that reducing motor block per se, long blamed for increasing instrumental delivery rates associated with regional analgesia in labour, does not improve the outcome of labour [9].…”

Section: Discussionmentioning

confidence: 99%

Effect of maternal ambulation on labour with low‐dose combined spinal–epidural analgesia

Collis¹,

Harding²,

Morgan³

1999

Anaesthesia

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SummaryTwo hundred and twenty-nine nulliparous women who requested regional analgesia during labour were given a combined spinal-epidural block. They were randomly allocated to stay in bed or spend at least 20 min of every hour out of bed. There was no significant difference in duration of labour, analgesia requirements, mode of delivery or condition of the baby between the groups. Ambulation appeared to be safe for the mother and baby. Maternal satisfaction with the low-dose combined spinal-epidural was high in both groups.

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The Influence of Continuous Epidural Bupivacaine Analgesia on the Second Stage of Labor and Method of Delivery in Nulliparous Women

Cited by 119 publications

References 0 publications

Low dose bupivacaine/fentanyl epidural infusions in labour and mode of delivery

Low dose bupivacaine/fentanyl epidural infusions in labour and mode of delivery

Effect of Walking Epidural Dose on Labour Duration and Analgesia

Effect of maternal ambulation on labour with low‐dose combined spinal–epidural analgesia

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