Journal article
Continuous Infusion Epidural Analgesia With Lidocaine: Efficacy and Influence During the Second Stage of Labor
Obstetrics and gynecology (New York. 1953), Vol.69(3), pp.323-327
03/1987
PMID: 3822279
Abstract
A randomized double-blind study evaluated the analgesic efficacy and influence of maintaining a continuous epidural infusion of 0.75% lidocaine during the second stage of labor in nulliparous women. When the cervix was 8 cm or more dilated, unidentified study solution was substituted for the known 0.75% lidocaine solution and continued until delivery. The study solution for 26 patients was 0.75% lidocaine; 27 subjects received saline. During the first stage of labor, 88% of women in the lidocaine group and 81% of women in the saline group had analgesia of excellent or good quality, a nonsignificant difference. During the second stage, there was a tendency (not statistically significant) toward improved analgesia quality in the lidocaine patients, but there was no significant difference in the frequency of perineal anesthesia (23% lidocaine, 7% saline). There was no difference between the groups in the duration of the second stage of labor (73 ± 63 versus 76 ± 48 minutes). Operative delivery frequency was similar (31 and 37%), as were umbilical cord blood acid-base values. It is concluded that maintenance of the continuous epidural infusion of 0.75% lidocaine did not prolong the second stage of labor, but it also did not significantly differ from saline in quality of second stage analgesia or frequency of perineal anesthesia.
Details
- Title: Subtitle
- Continuous Infusion Epidural Analgesia With Lidocaine: Efficacy and Influence During the Second Stage of Labor
- Creators
- DAVID CHESTNUT - From the Departments of Obstetrics and Gynecology and Anesthesia, University of Iowa College of Medicine, Iowa City, IowaJAMES BATESWON CHOI
- Resource Type
- Journal article
- Publication Details
- Obstetrics and gynecology (New York. 1953), Vol.69(3), pp.323-327
- Publisher
- The American College of Obstetricians and Gynecologists
- PMID
- 3822279
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Language
- English
- Date published
- 03/1987
- Academic Unit
- Anesthesia
- Record Identifier
- 9984006317102771
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