title: Cardiotocographic modifications during continuous epidural anaesthesia in labour.
abstract: Cardiotocographic variations certainly attributable to epidural anaesthesia were studied over the period 1972-1980 on 716 patients in labour. Transitory side-effects due to both direct and indirect action of local anaesthetics appeared in 1.4% of the cases, without, however, subsequently creating any particular foeto-newborn problem. On the basis of the experience acquired, it seems justifiable to affirm that the correct use of continuous epidural block, affected by very small doses of bupivacaine (10-20 mg per administration) is almost risk-free. The only inconvenience therefore that may sometimes arise would only be due to the relevation of a concealed cava occlusion when the maintenance of a left lateral position is not observed.
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D001919:Bradycardia / Q000139:chemically induced; D002045:Bupivacaine / Q000009:adverse effects; D005260:Female; D005315:Fetal Diseases / Q000139:chemically induced; D005318:Fetal Heart / Q000187:drug effects*; D005323:Fetal Monitoring; D006801:Humans; D007231:Infant, Newborn; D007743:Labor, Obstetric / Q000187:drug effects; D008431:Maternal-Fetal Exchange; D011247:Pregnancy; D013610:Tachycardia / Q000139:chemically induced; D014684:Venae Cavae / Q000187:drug effects
chemical_list: D002045:Bupivacaine