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Vpliv različnih koncentracij bupivakaina in levobupivakaina s fentanilom na potek poroda v epiduralni analgeziji : retrospektivni pregled = Influence of different concentrations of bupivacaine and levobupivacaine with fentanyl on labour in epidural analgesia : retrospective viewUranjek, Jasna ; Juvan Kramer, Katja, ginekologinja, 1971-Background Labour with epidural analgesia (EDA) is related to prolongation of the second stage of labour and increase in the instrumental vaginal delivery rate. It's not related to higher caesarean ... section rate. With this review we wanted to compare our results with the literature. Methods Retrospective analysis of labour in EDA in years 2004 and 2005 in Slovenj Gradec General Hospital was done. A comparison with a control group without EDA in the same time period was made. Three different EDA protocols were used during that period. They were compared to control group and between each other. Parturientwomen data, length of labour, instrumental vaginal delivery rate, caesarean section rate and newborn data were obtained and compared. Analgesic effect, complication rate and influence on labor and delivery were assessed according to EDA protocol used. Results We found statistically significant prolongation of the second stage of labour and increas in the instrumental vaginal delivery rate when EDA was used. Emergency caesarean section rate was not increased. There were no adverse effects on the fetus. All EDA protocol provided clinically efficient analgesia. 0.2% levobupivacaine with 1 micro g of fentanyl/ml of local anesthetic provided statistically significant most effective analgesia. Conclusions EDA means improved quality of labour for a parturient woman. Risk for labour complication with optimal treatment in second stage of labour, which is most affected with EDA, is low.Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 75, št. 12, dec. 2006, str. 787-793)Vrsta gradiva - članek, sestavni delLeto - 2006Jezik - slovenskiCOBISS.SI-ID - 22406617
Avtor
Uranjek, Jasna |
Juvan Kramer, Katja, ginekologinja, 1971-
Teme
Labor |
Analgesia, Epidural |
Bupivacaine |
Fentanyl |
Analgezija epiduralna |
Bupivakain |
Fentanil |
Porod |
analgezija |
epiduralna analgezija |
porodništvo |
porod
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vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 75, št. 12, dec. 2006, str. 787-793)
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Uranjek, Jasna | 34758 |
Juvan Kramer, Katja, ginekologinja, 1971- | ![]() |
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