IMR Press / CEOG / Volume 8 / Issue 3 / pii/1634266127626-934766830

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
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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.
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