[The effect of lumbar peridural anesthesia with catheter on the maternal and fetal acid-base status and the 1 minute apgar score (author's transl)].
Z Geburtshilfe Perinatol, 1975/6;179(3):163-8.
Strasser K, Harnacke P, Albrecht H, Morgenstern J, Schmidt H
PMID: 242125
Abstract
Comparison of 650 deliveries with P.A. and of 928 deliveries without P.A. during the same period. PH from the umbilical artery and 1 minute Apgar score were studied in three groups of patients: 1.) All deliveries, 2.) Spontaneous vaginal deliveries without maternal or fetal risk, 3.) Operative vaginal deliveries. The only significant differences were found among the operative vaginal deliveries: The infants of the peridural group showed a higher incidence of pH-values above 7,2 than those of the non peridural group. Analysis of the maternal acid-base status showed less respiratory alcalosis and less metabolic acidosis in the peridural group. The neonates of this group showed a lower post partum metabolic acidosis than those in the non peridural group.
MeSH terms
Acid-Base Equilibrium; Anesthesia, Epidural; Anesthetics, Local; Apgar Score; Female; Fetal Blood; Humans; Hydrogen-Ion Concentration; Infant, Newborn; Maternal-Fetal Exchange; Pregnancy
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