Geburtsh Frauenheilk
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Geburtsh Frauenheilk · Mar 1984
[Effect and adverse effects of epidural anesthesia during labor. With special reference to changes in the cardiotocogram].
In an Obstetric Department with approximately 2,000 deliveries yearly, offry third mother is delivered under epidural anesthesia. In a group of 600 maternity patients, the effectiveness, the side effects and the changes in the fetal cardiotocogram were examined during labour and delivery under epidural anesthesia. Evaluated were questionnaire to the mothers with mainly subjective impressions, the anesthetic protocol, and the protocol of labour and delivery including the internal cardiotocogram. 85% of the mothers would have a future delivery under an epidural anesthesia. ⋯ The incidence of cesarian sections, fetal morbidity and changes in the cardiotocogram are discussed in detail. The incidence of transilent silent decelerations and alarm dips in the cardiotocogram are mentioned. This study shows that epidural anesthesia is free of risks and a highly effective method for the conduct of obstetric analgesia.
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A study of the side effects of epidural anesthesia for painless delivery in 100 patients showed that 90% of the post partum patients were very satisfied with the analgesia and did not consider symptoms post partum to be very debilitating and did not blame the epidural anesthesia for the symptoms. Severe pain in the occiput and the cervical spine occurred in only two cases. In one case, the cerebro-spinal fluid was punctured. ⋯ No correlation was found with puncture of the dura which is suspected in the literature. Retention of urine was not found to be correlated to the epidural anesthesia. Uniformity of the responses by the maternity patients were striking especially if one considered that the social condition and the psychic condition of the individual woman such as attitude to delivery, presence of the husband at delivery, and other factors were not evaluated.