Continuous extradural analgesia in labour: Comparison between "on demand" and regular "top-up" injections

G. Purdy, J. Currie, H. Owen

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)319-324
Number of pages6
JournalBritish Journal of Anaesthesia
Volume59
Issue number3
DOIs
Publication statusPublished - Mar 1987
Externally publishedYes

Fingerprint Dive into the research topics of 'Continuous extradural analgesia in labour: Comparison between "on demand" and regular "top-up" injections'. Together they form a unique fingerprint.

  • Cite this