Zhonghua fu chan ke za zhi
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Zhonghua Fu Chan Ke Za Zhi · Jun 2005
[Influence of combined spinal-epidural analgesia and epidural analgesia on the progress of labor].
To investigate the influence of combined spinal-epidural analgesia (CSEA) and epidural analgesia (EA) and patient-controlled epidural analgesia (PCEA) on labor progress. ⋯ CSEA + PCEA or EA + PCEA during labor might slow down the progress of the active phase and lead to a prolonged labor in the end. Therefore, the management of these parturients may vary based on Friedman partogram.
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To evaluate the effect of spinal-epidural and epidural anesthesia for pain relief in labor. ⋯ Anesthetic pain relief in labor may reduce the CS rate, but increase the rate of forceps delivery. Pain relief is associated with arrested and prolonged active phase, prolonged second stage. However, pain relief in labor does not enhance the rate of postpartum hemorrhage and neonatal asphyxia.
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Zhonghua Fu Chan Ke Za Zhi · Jun 2005
[Effects of epidural ropivacaine labor analgesia on duration of labor and mode of delivery].
To study the effects of ropivacaine on the duration of labor and mode of delivery in the primigravidas using patient-controlled epidural analgesia (PCEA). ⋯ Epidural ropivacaine labor analgesia lengthens the duration of labor and increases the rate of instrumental delivery, but it has no significant negative effects on the neonates.