Database - (CIANE) | |
Description of this bibliographical database (CIANE website) |
https://ciane.net/id=356 | ➡ Modify this record |
Bibliographical entry (without author) : | The influence of continuous epidural bupivacaine analgesia on the second stage of labor and method of delivery in nulliparous women. Anesthesiology. 1987 Jun;66(6):774-80. |
Author(s) : | Chestnut DH, Vandewalker GE, Owen CL, Bates JN, Choi WW. |
Year of publication : | 1987 |
URL(s) : | |
Résumé (français) : |
|
Abstract (English) : | A randomized, double blind, placebo-controlled study was performed to evaluate the analgesic efficacy and influence of continuing an epidural infusion of 0.125% bupivacaine beyond a cervical dilatation of 8 cm in nulliparous women. When the cervix was greater than or equal to 8 cm dilated, coded study solution was substituted for the known 0.125% bupivacaine solution. The study solution for 46 patients was 0.125% bupivacaine; 46 patients received saline. During the first stage of labor, 44 (96%) women in the bupivacaine group, and 45 (98%) in the saline group, had analgesia of excellent or good quality. During the second stage, 36 (82%) women in the bupivacaine group, versus 18 (41%) women in the saline group, had analgesia of excellent or good quality (P less than .0001). Six (13%) women in each group underwent cesarean delivery after the start of the study solution. Among the women who delivered vaginally, the mean (+/- S.D.) duration of the second stage of labor was 124 (+/- 70) min in the bupivacaine group, versus 94 (+/- 54) min in the saline group (P less than .05). Twenty-one of 40 (53%) women in the bupivacaine group, versus 11 of 40 (28%) in the saline group, underwent instrumental vaginal delivery (P less than .05). Twenty-eight of 40 (70%) women in the bupivacaine group, versus six of 40 (15%) in the saline group; had surgical perineal anesthesia for vaginal delivery (P less than .0001). There were no significant differences between groups in Apgar scores or umbilical cord blood acid-base values.(ABSTRACT TRUNCATED AT 250 WORDS) |
Sumário (português) : |
|
Resumen (español) : |
|
Comments : | |
Argument (français) : |
|
Argument (English): | |
Argumento (português): |
|
Argumento (español): |
|
Keywords : | ➡ evidence-based medicine/midwifery ; instrumental delivery ; epidural |
Author of this record : | Cécile Loup — 08 Jan 2004 |
Discussion (display only in English) | ||
---|---|---|
[Hide guidelines] ➡ Discussion guidelines 1) Comments aim at clarifying the content of the publication or suggesting links for a better comprehension of its topic 2) All comments are public and opinions expressed belong to their authors 3) Avoid casual talk and personal stories 4) Any off-topic comment or containing inappropriate statements will be deleted without notice |
New expert query --- New simple query
Creating new record --- Importing records
User management --- Dump database --- Contact
This database created by Alliance francophone pour l'accouchement respecté (AFAR) is managed
by Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting CIANE (see below)
(3) or joining any society affiliated with CIANE.
➡ Sign in or create an account to follow changes or become an editor.
➡ Contact bibli(arobase)ciane.net for more information.
Donating to CIANE (click “Faire un don”) will help us to maintain and develop sites and public databases towards the support of parents and caregivers’ informed decisions with respect to childbirth |