International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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Int J Gynaecol Obstet · Mar 1979
Cesarean section with regional anesthesia using an extendable epidural block.
Epidural analgesia was used for 86 deliveries by cesarean section. The placement of a catheter in the epidural space allowed adjustment of the extent of the block so that supplementary analgesia was required in only six patients. ⋯ Symptomatic hypotension was avoided or corrected by the intravenous infusion of Hartmann's solution and by the use of a lateral tilt of the operating table. Eleven patients had a blood pressure of less than 100 mm Hg, and in three of these, there was an adverse effect on the fetal heart trace.