Journal of clinical anesthesia · 1991
Trial of labor: a study of 110 patients.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Johnson C, Oriol N, Flood K
Аннотация
STUDY OBJECTIVE: The purpose of the study was to determine whether epidural analgesia is unsafe for trial of labor (TOL).
DESIGN: Retrospective chart review.
SETTING: Inpatient obstetric department at a university medical center.
PATIENTS: One hundred ten ASA physical status I and II term parturients who attempted a TOL between December 1987 and June 1988.
INTERVENTIONS: All the parturients previously had low transverse uterine incisions and received continuous electronic fetal and uterine pressure monitoring throughout labor. All the parturients were offered epidural analgesia during labor with bupivacaine 0.25%.
MEASUREMENTS AND MAIN RESULTS: Sixty-seven percent of the parturients had successful vaginal delivery. Fifty-one of the 110 parturients had epidural analgesia for labor. There were two complete uterine ruptures; neither had epidural catheters. Both of the complete ruptures presented with monitored fetal distress rather than abdominal pain. Both mothers and their infants recovered uneventfully.
CONCLUSIONS: Uterine rupture presents as monitored fetal distress rather than abdominal pain. Thus, epidural analgesia can be used in patients attempting a TOL.
DESIGN: Retrospective chart review.
SETTING: Inpatient obstetric department at a university medical center.
PATIENTS: One hundred ten ASA physical status I and II term parturients who attempted a TOL between December 1987 and June 1988.
INTERVENTIONS: All the parturients previously had low transverse uterine incisions and received continuous electronic fetal and uterine pressure monitoring throughout labor. All the parturients were offered epidural analgesia during labor with bupivacaine 0.25%.
MEASUREMENTS AND MAIN RESULTS: Sixty-seven percent of the parturients had successful vaginal delivery. Fifty-one of the 110 parturients had epidural analgesia for labor. There were two complete uterine ruptures; neither had epidural catheters. Both of the complete ruptures presented with monitored fetal distress rather than abdominal pain. Both mothers and their infants recovered uneventfully.
CONCLUSIONS: Uterine rupture presents as monitored fetal distress rather than abdominal pain. Thus, epidural analgesia can be used in patients attempting a TOL.