Epidural Analgesia for Labor and Delivery

被引：163
|
作者：
Hawkins, Joy L. [1 ]
机构：
[1] Univ Colorado, Denver Sch Med, Dept Anesthesiol, Aurora, CO 80045 USA
来源：
NEW ENGLAND JOURNAL OF MEDICINE | 2010年 / 362卷 / 16期
关键词：
RANDOMIZED CONTROLLED-TRIAL; INTERVILLOUS BLOOD-FLOW; CESAREAN DELIVERY; PAIN RELIEF; INTRAVENOUS ANALGESIA; NEURAXIAL ANALGESIA; RISK; BUPIVACAINE; MANAGEMENT; WOMEN;
D O I：
10.1056/NEJMct0909254
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 30-year-old nulliparous woman at 39 weeks' gestation is undergoing induction of labor because of premature rupture of membranes. She is currently receiving an oxytocin infusion, and her cervical dilatation is 1 cm. Her obstetrician has ordered intermittent intravenous administration of fentanyl for pain relief, but she feels nauseated, has been unable to rest, and describes her pain as 9 on a scale of 10. The patient strongly prefers a vaginal delivery to cesarean delivery and is concerned that epidural analgesia may alter the progress of labor. The anesthesiologist is consulted to discuss the use of epidural analgesia during labor and delivery.
引用
收藏
页码：1503 / 1510
页数：8
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