J Gynecol Obst Bio R
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The authors present a study of 20 cases of epidural obstetrical analgesia. A Bupivacaine-Fentanyl mixture was given by continuous flow to bring about this analgesia. After an initial injection of 10 ml (9 ml of 0.25% Bupivacaine and 0.05 mg Fentanyl), a mixture of 45 ml of 0.25% Bupivacaine and 0.25 mg Fentanyl was perfused into the epidural space using an electronic pump syringe, delivering at a rate of 5 ml/hr. ⋯ There are no detectable changes in the haemodynamic parameters in either the mothers or the fetuses and no depression of maternal respiration was found. In each case the Apgar score was 10 after 5 minutes. In summary, the use of an electronic pump syringe to deliver a Bupivacaine-Fentanyl mixture in obstetrical labour is a great improvement in analgesia without any secondary effects in the mother and child.
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J Gynecol Obst Bio R · Jan 1985
Comparative Study[Puerperal urinary tract infections: role of epidural analgesia, a scheme for prevention].
Epidural analgesia often leads to an increase in the number of catheterisations because of the modifications that result in the physiology of the urinary tract. These catheterisations lead to lower urinary tract infections. Our study on 312 patients shows that: under epidural analgesia it is necessary to carry out catheterisation 3.6 times more frequently; urinary tract infections are 2.6 times more frequent under epidural analgesia; the incidence of urinary tract infection multiplies in accordance with the number of catheterisations whether there has been epidural analgesia or not; a single prophylactic dose of 3 g of amoxycillin can avoid three-quarters of these infections.