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Titolo:
EFFECT OF EPIDURAL ANALGESIA ON FUNDAL DOMINANCE DURING SPONTANEOUS ACTIVE-PHASE NULLIPAROUS LABOR
Autore:
NIELSEN PE; ABOULEISH E; MEYER BA; PARISI VM;
Indirizzi:
UNIV TEXAS,SCH MED,DEPT ANESTHESIA,6431 FANNIN,ROOM 5-020 HOUSTON TX 77030 UNIV TEXAS,HLTH SCI CTR,DEPT OBSTET GYNECOL & REPROD SCI,DIV MATERNALFETAL MED HOUSTON TX 00000 UNIV TEXAS,HLTH SCI CTR,DEPT ANESTHESIOL HOUSTON TX 00000 SUNY STONY BROOK,DEPT OBSTET GYNECOL & REPROD MED STONY BROOK NY 11794
Titolo Testata:
Anesthesiology
fascicolo: 3, volume: 84, anno: 1996,
pagine: 540 - 544
SICI:
0003-3022(1996)84:3<540:EOEAOF>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
UTERINE CONTRACTION PRESSURES; PARTURIENTS; DELIVERY; ARREST;
Keywords:
ANALGESIA, EPIDURAL; ANESTHETICS, LOCAL, BUPIVACAINE; INTRAUTERINE PRESSURE, FUNDAL DOMINANCE; LABOR, ACTIVE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
24
Recensione:
Indirizzi per estratti:
Citazione:
P.E. Nielsen et al., "EFFECT OF EPIDURAL ANALGESIA ON FUNDAL DOMINANCE DURING SPONTANEOUS ACTIVE-PHASE NULLIPAROUS LABOR", Anesthesiology, 84(3), 1996, pp. 540-544

Abstract

Background: The purpose of this investigation was to determine if epidural analgesia, established during active phase labor, results in elimination or reversal of fundal dominance (lower uterine segment pressure equal to or greater than fundal pressure). Methods: Upper and loweruterine segment intrauterine pressures were prospectively evaluated for 50 min before and 50 min after epidural analgesia using 0.25% bupivacaine in 11 nulliparous women in spontaneous active labor. A total of958 contractions were evaluated. Results: No significant differences were found in the number of contractions In the interval before epidural analgesia compared to after epidural analgesia. Significantly greater pressure readings were recorded in the upper segment than in the lower segment (consistent with fundal dominance) both before and after epidural analgesia (P < 0.01). in addition, fundal dominance increased after epidural analgesia when compared to the preanalgesia period (P <0.01). Conclusions: Fundal dominance is present both before and afteractive phase epidural analgesia and is increased during the immediate50-min postanalgesia period.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/11/20 alle ore 22:44:29