International journal of obstetric anesthesia
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Int J Obstet Anesth · Jan 2010
Comparative StudyAnalgesic requirements and postoperative recovery after scheduled compared to unplanned cesarean delivery: a retrospective chart review.
Studies examining the effects of various analgesics and anesthetics on postoperative pain following cesarean delivery conventionally use the scheduled cesarean population. This study compares postoperative analgesic requirements and recovery profiles in women undergoing scheduled cesarean compared to unplanned cesarean delivery following labor. We postulated that unplanned cesarean deliveries may increase postoperative analgesic requirements. ⋯ The results indicate that women experience similar pain and analgesic requirements after scheduled compared to unplanned cesarean delivery. This suggests that the non-scheduled cesarean population may be a suitable pain model to study pain management strategies; and that alterations in pain management are not necessary for the unplanned cesarean delivery population.
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Int J Obstet Anesth · Jan 2010
Randomized Controlled Trial Multicenter Study Comparative StudySatisfaction, control and pain relief: short- and long-term assessments in a randomised controlled trial of low-dose and traditional epidurals and a non-epidural comparison group.
Childbirth is an important life event for which a positive experience is important to many women. ⋯ Whilst satisfaction with the experience of childbirth appears intimately related to the attainment of a spontaneous delivery, mobile epidurals enhance women's feeling of control in labour and are popular for future choice of regional analgesia.
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Int J Obstet Anesth · Jan 2010
Prospective case control comparison of fetal intrapartum oxygen saturations during epidural analgesia.
The purpose of this study was to compare fetal oxygen saturation by fetal pulse oximetry in parturients with and without epidural labor analgesia in a prospective case control study. ⋯ Fetal oxygen saturation values are similar in the first and second stage of labor in the presence or absence of epidural labor analgesia.
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Int J Obstet Anesth · Jan 2010
Intrathecal anesthesia for cesarean delivery via a subarachnoid drain in a woman with benign intracranial hypertension.
A 26-year-old primiparous patient with intractable benign intracranial hypertension treated by cerebrospinal fluid drainage through an indwelling spinal catheter was expecting twins. At 30 weeks she presented for emergent cesarean delivery secondary to a non-reassuring fetal condition. In consultation with the neurosurgical team, spinal anesthesia for the cesarean delivery was induced successfully through the spinal catheter. Cesarean delivery proceeded uneventfully with a favorable neonatal outcome.