Subject(s)
Anesthesia, Epidural , Anesthesia, Obstetrical/methods , Adult , Anesthesia, Epidural/adverse effects , Anesthesia, Obstetrical/adverse effects , Evaluation Studies as Topic , Female , Fetal Monitoring , Fetus/drug effects , Humans , Infant, Newborn , Labor, Obstetric/drug effects , PregnancyABSTRACT
73 case histories of induction of labour under epidural anaesthesia have been studied very thoroughly from the different parameters of the uterine contractions as well as the fetal heart rate and the acid base balance of the fetus. From this study it is clear that the basal tone, the intensity and the frequency of contractions and the activity of the uterus are increased in comparison with different studies of normal labour. This increase however is within physiological limits and does not change in any marked way the cardiac rhythm nor the acid base balance of the fetus. The Apgar score at birth is equal to or above 8 in 89 p. 100 of cases at 1 minute and in 100 p. 100 of cases at 5 minutes. Finally, in the last phases of the labour dilatation is quicker than in normal delivery. It follows therefore that maternal comfort has not been bought at the expense of the fetus.