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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Cardiotocographic modifications during continuous epidural anaesthesia in labour
E. Vincenti1, B. Tambuscio1, M. Mega1, G. F. Fais1, D. Polato1, M. A. Pitton1, L. Di Lenardo1, A. Ambrosini1
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1
Institute of Anaesthesiology and Resuscitation, Obstetric and Gynecological Department, University of Padua (Italy)
Clin. Exp. Obstet. Gynecol. 1981, 8(3), 128–131;
Published: 10 September 1981
Abstract
Cardiotocographic variations certainly attributable to epidural anaesthesia were studied over the period 1972-1980 on 716 patients in labour. Transitory side-effects due to both direct and indirect action of local anaesthetics appeared in 1.4% of the cases, without, however, subsequently creating any particular foeto-newborn problem. On the basis of the experience acquired, it seems justifiable to affirm that the correct use of continuous epidural block, affected by very small doses of bupivacaine (10-20 mg per administration) is almost risk-free. The only inconvenience therefore that may sometimes arise would only be due to the relevation of a concealed cava occlusion when the maintenance of a left lateral position is not observed.