EFFECT OF SEGMENTAL EXTRADURAL ANALGESIA ON PLACENTAL BLOOD FLOW DURING NORMAL LABOUR |
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Authors: | JOUPPILA, R. JOUPPILA, P. HOLLMEN, A. KUIKKA, J. |
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Affiliation: | Department of Anaesthesiology Oulu, Finland Department of Obstetrics and Gynaecology Oulu, Finland Department of Clinical Chemistry; University of Oulu Oulu, Finland |
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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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