Subject(s)
Contraceptives, Postcoital , Intrauterine Devices , Female , Guidelines as Topic , Humans , NorwayABSTRACT
Müllerian anomalies are in different degrees complicated by poor fetal outcome. Our young patient had in addition to uterus didelphys a leiomyoma of the nonpregnant part of the double uterus. Though her pregnancy was complicated, it was conserved to 37 weeks, when the baby was delivered by cesarean section. The right uterine body with a leiomyoma weighing 1500 grams was removed at the same time.
Subject(s)
Leiomyoma/surgery , Pregnancy Complications, Neoplastic/surgery , Pregnancy Outcome , Uterine Neoplasms/surgery , Uterus/abnormalities , Adult , Bed Rest , Cesarean Section , Female , Humans , Indomethacin/therapeutic use , Leiomyoma/complications , Leiomyoma/diagnostic imaging , Obstetric Labor, Premature/drug therapy , Obstetric Labor, Premature/therapy , Pregnancy , Pregnancy Complications, Neoplastic/diagnostic imaging , Ultrasonography, Prenatal , Uterine Neoplasms/complications , Uterine Neoplasms/diagnostic imaging , Uterus/diagnostic imaging , Uterus/surgeryABSTRACT
Two groups of nulliparous women with fetuses in singleton vertex presentation received continuous infusion epidural analgesia (EDA) with bupivacaine: group A (90 parturients) without infusion analgesia in the second stage of labor and group B (90 parturients) with infusion analgesia throughout delivery. The groups were compared regarding pain relief, duration of the second stage, persistent malrotation of the fetal head, and rate of instrumental vaginal delivery. The continuous infusion EDA gave satisfactory pain relief in 93.3% of the parturients in group A and 97.8% in group B. The duration of second stage was the same in both groups. There were more persistent malrotations of the fetal head in group A, but the malrotation did not affect the mode of delivery. The rate of instrumental vaginal delivery was 25.5% in both groups. The main cause of operative intervention was delay in the second stage. When the continuous infusion technique is used, it seems unreasonable to discontinue the EDA and thereby deprive the parturient of analgesia during the second stage.
