[Peridural analgesia with 0.375 percent bupivacaine in labor with dystocia].
For dystoctic deliveries peridural analgesia with bupivacaine 0.25% was compared with bupivacaine 0.375%, without adrenalin. Shortening of the delivery time in cases of stagnation of dilatation, was obtained with bupivacaine 0.375%: 181 mn in the average instead of 276 mn with bupivacaine 0.25% (p = 0.05). In the case of a cervical spasm, there was release of the contraction with return of a normal dilatation leading to a shorter labour: 188 mn in the average against 340 mn (p = 0.02) with the 0.25% solution. Apgar scores were similar in both series.
D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical / Q000379:methods*; D001034:Apgar Score; D002045:Bupivacaine / Q000008:administration & dosage*; D036861:Delivery, Obstetric; D004338:Drug Combinations; D004420:Dystocia / Q000628:therapy*; D004837:Epinephrine / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010298:Parity; D011247:Pregnancy; D013997:Time Factors
D004338:Drug Combinations; D002045:Bupivacaine; D004837:Epinephrine
Analgésie péridurale par la bupivacaïne à 0,375% au cours des accouchements dystociques.