TY - JOUR
T1 - Continuous extradural analgesia in labour
T2 - Comparison between "on demand" and regular "top-up" injections
AU - Purdy, G.
AU - Currie, J.
AU - Owen, H.
PY - 1987/3
Y1 - 1987/3
N2 - In a prospective comparative study 240 patients received extradural bupivacaine, either by regular timed injections or "on demand", for pain relief during the first stage of labour. Three concentrations of bupivacaine were used (0.5%, 0.375% and 0.25%). Quality and continuity of analgesia, motor blockade, spread of sensory blockade, cardiovascular changes, fetal outcome and maternal sequelae were recorded. Overall, the analgesia provided by regular top-up injections was superior to the on demand technique, especially when 0.375% bupivacaine was used. This improved analgesia was achieved without causing an increased incidence of operative deliveries or deleterious sequelae, with respect to the mother or the neonate.
AB - In a prospective comparative study 240 patients received extradural bupivacaine, either by regular timed injections or "on demand", for pain relief during the first stage of labour. Three concentrations of bupivacaine were used (0.5%, 0.375% and 0.25%). Quality and continuity of analgesia, motor blockade, spread of sensory blockade, cardiovascular changes, fetal outcome and maternal sequelae were recorded. Overall, the analgesia provided by regular top-up injections was superior to the on demand technique, especially when 0.375% bupivacaine was used. This improved analgesia was achieved without causing an increased incidence of operative deliveries or deleterious sequelae, with respect to the mother or the neonate.
UR - http://www.scopus.com/inward/record.url?scp=0023109205&partnerID=8YFLogxK
U2 - 10.1093/bja/59.3.319
DO - 10.1093/bja/59.3.319
M3 - Article
C2 - 3828181
AN - SCOPUS:0023109205
SN - 0007-0912
VL - 59
SP - 319
EP - 324
JO - British Journal of Anaesthesia
JF - British Journal of Anaesthesia
IS - 3
ER -