Obstetrics and gynecology
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Obstetrics and gynecology · Sep 1976
Subarachnoid phenol block for pain relief in gynecologic malignancy.
One hundred and thirty-three subarachnoid phenol blocks were performed in 90 patients with intractable pain secondary to gynecologic cancer at the University of Iowa Hospitals in the period 1961 to 1975. Excellent to moderate pain relief was obtained in 77% of 117 evaluable blocks. ⋯ Complications were temporary and occurred in 71% of the blocks, the most common being urinary and rectal incontinence. Subarachnoid phenol block is an effective method for relief of intractable pain; its use in gyneclogic oncology is discussed.
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Obstetrics and gynecology · Sep 1976
Electronic monitoring of the fetal heart rate and uterine contractions during cesarean section under balanced anesthesia.
The influence of balanced anesthesia (BA) on fetal heart rate (FHR) and uterine contraction (UC) patterns was evaluated in pregnant women undergoing emergency cesarean section. The results showed that during operative delivery under BA there was a significant decrease in the beat-to-beat variability of the FHR, most probably due to the anesthetic agent. There was a decrease in uterine contractility expressed by the significant decreases in the peak pressure as well as in the duration of the uterine contractions. Periodic changes in the FHR as decelerations and acclerations disappeared or improved mostly due to the decrease of uterine contractility.