Patient management during extradural anaesthesia for obstetrics.
A review of some policies of clinical practice, adopted in the light of experience, is presented. These include the inadvisability of attempting to obtain a precise segmental block during the first stage of labour; the urgent need to avoid compression of the inferior vena cava by the uterus during labour and at the time of delivery; a preference for the routine use of bupivacaine in concentration of 0.375%, and for the plain solution irrespective of the concentration employed; and the advocacy of providing lumbar extradural analgesia in cases of breech presentation and multiple pregnancy. The list of contraindications has been considerably reduced during the past few years.
D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D001946:Breech Presentation; D002045:Bupivacaine / Q000008:administration & dosage; D004837:Epinephrine; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D011187:Posture; D011247:Pregnancy; D014554:Urination
D002045:Bupivacaine; D004837:Epinephrine