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Int J Obstet Anesth · Oct 2012
Case ReportsPlacental abruption occurring soon after labor combined spinal-epidural analgesia.
- F Jaime, J Degani, N Lam, and G Allen.
- Department of Anesthesiology and Critical Care Medicine, University of New Mexico, Albuquerque, NM, USA.
- Int J Obstet Anesth. 2012 Oct 1;21(4):376-9.
AbstractWe present a case of placental abruption necessitating emergency cesarean section in an otherwise uncomplicated patient soon after initiation of combined spinal-epidural analgesia in labor. Administration of spinal opioids has the potential to cause fetal bradycardia due to uterine hypertonicity following rapid onset of analgesia. In this case, a previously bloody show before placement of combined spinal-epidural analgesia may have been evidence of a small abruption. We hypothesize that uterine hypertonicity following administration of spinal opioids may have hastened the development of an existing placental abruption.Copyright © 2012 Elsevier Ltd. All rights reserved.
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