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EFFECT OF SEGMENTAL EXTRADURAL ANALGESIA ON PLACENTAL BLOOD FLOW DURING NORMAL LABOUR
Authors:JOUPPILA, R.   JOUPPILA, P.   HOLLMEN, A.   KUIKKA, J.
Affiliation:Department of Anaesthesiology Oulu, Finland
Department of Obstetrics and Gynaecology Oulu, Finland
Department of Clinical Chemistry; University of Oulu Oulu, Finland
Abstract:Placental blood flow was measured during the first stage ofnormal labour using a xenon-133 clearance technique before andafter segmental extradural analgesia. Analgesia was producedwith 0.5% plain bupivacaine in eight patients and with 0.5%bupivacaine-adrenaline in 10 patients. Segmental extraduralanalgesia with a small dose (20 mg) of bupivacaine did not changeplacental blood flow significantly. The addition of adrenaline20 µg produced no effect.
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