The Journal of the American Osteopathic Association
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J Am Osteopath Assoc · Dec 2006
Randomized Controlled TrialHemodynamic stability during labor and delivery with continuous epidural infusion.
Epidural anesthesia for labor pain is frequently complicated by maternal hypotension. ⋯ Continuous epidural infusion of 0.2% ropivacaine hydrochloride without bolus administration reduces the incidence of hypotension by 67% and is safer than traditional bolus dosing for routine labor. This method requires further study in high-risk patients, including those with preeclampsia and cardiovascular disease.