title: [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)].
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: D000136:Acid-Base Equilibrium; D000767:Anesthesia, Epidural; D000779:Anesthetics, Local / Q000494:pharmacology; D001034:Apgar Score; D005260:Female; D005312:Fetal Blood; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007231:Infant, Newborn; D008431:Maternal-Fetal Exchange; D011247:Pregnancy
chemical_list: D000779:Anesthetics, Local
vernacular_title: Einfluss der lumbalen Periduralanaesthesie mit Katheter auf den mütterlichen und kindlichen Säure-Basen-Haushalt und den 1-Minuten-Apgar-Wert