International journal of obstetric anesthesia
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Int J Obstet Anesth · Dec 2016
Nine-year audit of post-dural puncture headache in a tertiary obstetric hospital in Singapore.
The KK Women's and Children's Hospital is a tertiary obstetric unit with approximately 11000 deliveries per year. Epidural analgesia is used in about 40% of laboring women. We reviewed the incidence and management of post-dural puncture headache over a nine-year period. ⋯ A retrospective audit over a nine-year period at a tertiary teaching hospital found the overall incidence of post-dural puncture headache and associated events to be 0.15%, with a decreasing trend coinciding with improvement in the teaching and supervision of trainees in labor epidural procedures.
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Int J Obstet Anesth · Dec 2016
ReviewThe role of carbetocin in the prevention and management of postpartum haemorrhage.
Carbetocin is a new synthetic analogue of oxytocin. It has a longer half life than oxytocin. This review examines the current evidence for the use of carbetocin as an alternative to oxytocin, as a first-line agent in the pharmacological management of the third stage of labour.