title: [Analgesia of labor in women with diabetes mellitus].
abstract: The article deals with a study of duration of physiological labors in women with diabetes mellitus.
  
  
  METHODS
  120 women were devided into three groups according to method of analgesia. We assessed data of central haemodynamics, efficacy of analgesia, glucose level in blood, conditions of fetus and newborn.
  
  
  RESULTS
  We found that epidural analgesia with bupivacaine hydrochloride was an optimal method of labor analgesia in women with diabetes mellitus. This method provided a stabilization of glucose level in blood, normalization of data of central haemodynamics and allowed to avoid anomalies of labor
  
  
  CONCLUSIONS
  Analgesia with promedol and paracetamol is a preferable method in case of presence of epidural analgesia contraindications.
authors.forename: M I
authors.initials: MI
authors.lastname: Neymark
authors.forename: A I
authors.initials: AI
authors.lastname: Kovalev
mesh_terms: D000293:Adolescent; D000328:Adult; D000577:Amides / Q000008:administration & dosage / Q000627:therapeutic use; D015360:Analgesia, Epidural / Q000379:methods*; D016362:Analgesia, Obstetrical / Q000379:methods*; D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D001034:Apgar Score; D001786:Blood Glucose / Q000032:analysis; D003920:Diabetes Mellitus / Q000097:blood; D003922:Diabetes Mellitus, Type 1 / Q000097:blood; D016640:Diabetes, Gestational / Q000097:blood; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D007231:Infant, Newborn; D048949:Labor Pain / Q000188:drug therapy*; D007743:Labor, Obstetric / Q000187:drug effects; D011247:Pregnancy; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics / Q000097:blood; D000077212:Ropivacaine; D055815:Young Adult
chemical_list: D000577:Amides; D000700:Analgesics; D001786:Blood Glucose; D000077212:Ropivacaine