[Perinatal deaths associated with paracervical anesthesia (author's transl)].
Two infants' death associated with paracervical anesthesia are reported. In both cases a severe fetal bradycardia which developed 5 and 10 minutes, respectively, after paracervical injection of 10 ml of 0.5% Bupivacain, was the reason for Caesarean section. The clinical signs of the infants were similar: low Apgar score, primary apnea, grey colour, flaccidity, no reactions; after a few hours, however, general muscular hypertonus, and repeated attacks of tonic seizures. Accidental injection of Bupivacain into the fetus cannot be excluded in both cases. -- The fetal risks through paracervical anesthesia are being reviewed.
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000009:adverse effects* / Q000379:methods; D000777:Anesthetics / Q000008:administration & dosage / Q000378:metabolism; D000779:Anesthetics, Local / Q000009:adverse effects*; D001034:Apgar Score; D001919:Bradycardia / Q000139:chemically induced / Q000401:mortality; D002045:Bupivacaine / Q000009:adverse effects / Q000378:metabolism / Q000506:poisoning; D002584:Cervix Uteri; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000209:etiology*; D008297:Male; D008431:Maternal-Fetal Exchange; D008619:Mepivacaine / Q000506:poisoning; D011247:Pregnancy
D000777:Anesthetics; D000779:Anesthetics, Local; D008619:Mepivacaine; D002045:Bupivacaine
Kindliche Todesfälle im Zusammenhang mit Parazervikalanästhesie