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  • Vpliv epiduralne porodne analgezije v nizkem odmerku na potek in izid poroda = Effect of low-dose epidural parturition analgesy on continuation and outcome of labour
    Sredanović, Drago ; Merkun, Maja
    Background Epidural parturition analgesia (EPA) is commonly employed techniqueof providing pain relief during labour. The newer form of low-dose intermittent EPA has been in the recent studies ... presented as solid, according to parturitientćs wish. The main goal of our review was to strenghten the influence of this form of EPA on continuation, mode and outcome of labour. Methods We have retrospectively analysed all the labours in years 2005 and 2006 in nulliparous women in labour at term with the head presentation of fetus. They were divided in two groups - with and without EPA. Analgetic mixture of EPA contained 0.1% bupivacain and 2 g of phentanylžmL of local anesthetic. Main features of parturitients, duration of labour and outcomes oflabour on mother and newborn were compared. We have excluded all labours with fetal breech presentation, multiple pregnancies, elective caesarean sections and all labours finished before 37th week of pregnancy. Results In nulliparous women with low-dose intermittent EPA labour was a bit longer and often finished with vacuum extraction. However level of caesarean sections wasunchanged. In comparision with group without EPA the outcomes in newborns were not essentially different. Conclusions Use of low-dose intermittent EPA is acceptable and safe method of decreasing the labour pains, ensuring good outcomes in mother and newborn despite higher risk.
    Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 76, št. 11, nov. 2007, str. 753-757)
    Type of material - article, component part
    Publish date - 2007
    Language - slovenian
    COBISS.SI-ID - 237362432

    Link(s):

    Digitalna knjižnica Slovenije - dLib.si

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