The Safety and Efficacy of Combined Spinal and Epidural Analgesia/Anesthesia (6,002 Blocks) in a Community Hospital

Combined spinal-epidural analgesia for laboring parturients in a Nigerian Hospital

“…[4][5][6][7] Apart from rapid onset analgesia, a high proportion (90%) experienced adequate analgesia that is congruous with the findings of other workers. [7][8][9][10] We had more nulliparous than parous patients requesting for CSE in contrast with Miro et al data, [7] understandably, a high proportion (62%) of our cohort received oxytocin augmentations causing extreme pain situations. We suggest that CSE can be safely used in every laboring parturient irrespective of parity either in early or late labor situations.…”

Fetal heart rate abnormalities after regional analgesia for labor pain: The effect of intrathecal opioids

“…However, side effects such as a high incidence of pruritus and, extremely rare, res-piratory depression have been reported. [9][10][11] Furthermore, investigators have raised concerns about the use of intrathecal opioids and fetal well-being. [12][13][14][15] Investigators have warned against the possibility of nonreassuring fetal heart rate (FHR) patterns immediately after the spinal administration of opioids, perhaps elicited by uterine hyperactivity.…”

“…[12][13][14][15] Investigators have warned against the possibility of nonreassuring fetal heart rate (FHR) patterns immediately after the spinal administration of opioids, perhaps elicited by uterine hyperactivity. 13 However, apart from the study by Albright and Forster, 11 all reports were either case descriptions or studies involving a limited number of patients. In one of these studies, fetal distress resulted in urgent cesarean delivery, but neonatal outcome was always reassuring.…”

Fetal Heart Rate Abnormalities After Regional Analgesia for Labor Pain

“…[3][4][5][6][7][8][9] Intrathecal opioids, when administered alone, have the advantage of producing analgesia without motor impairment. [9][10][11] Furthermore, investigators have raised concerns about the use of intrathecal opioids and fetal well-being. [9][10][11] Furthermore, investigators have raised concerns about the use of intrathecal opioids and fetal well-being.…”

“…[9][10][11] Furthermore, investigators have raised concerns about the use of intrathecal opioids and fetal well-being. 13 However, apart from the study by Albright and Forster, 11 all reports were either case descriptions or studies involving a limited number of patients. 13 However, apart from the study by Albright and Forster, 11 all reports were either case descriptions or studies involving a limited number of patients.…”