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Oxytocin newborn analgesia

Ahmed I Ahmed, Ling Zhu, Sarah Aldhaheri, Sharif Sakr, Howard Minkoff, Shoshana Haberman
OBJECTIVES: The objective of this study is to determine the incidence of uterine tachysystole and its association with spontaneous labor at term. METHODS: A retrospective cohort study of 8008 women in spontaneous labor (without prostaglandins or oxytocin). Fetal heart tracings and uterine activity were recorded every 15 min. PRIMARY OUTCOME: occurrence of tachysystole (> 5 uterine contractions /10 min over 30 min periods). SECONDARY OUTCOMES: non-reassuring fetal heart tracings (NRFHT), NICU admissions, and cesarean deliveries...
October 2016: Journal of Maternal-fetal & Neonatal Medicine
Kajsa Brimdyr, Karin Cadwell, Ann-Marie Widström, Kristin Svensson, Monica Neumann, Elaine A Hart, Sarah Harrington, Raylene Phillips
BACKGROUND: Intrapartum drugs, including fentanyl administered via epidural and synthetic oxytocin, have been previously studied in relation to neonatal outcomes, especially breastfeeding, with conflicting results. We examined the normal neonatal behavior of suckling within the first hour after a vaginal birth while in skin-to-skin contact with mother in relation to these commonly used drugs. Suckling in the first hour after birth has been shown in other studies to increase desirable breastfeeding outcomes...
December 2015: Birth
Sibylle Emilie Vogt, Kátia Silveira da Silva, Marcos Augusto Bastos Dias
OBJECTIVE: To compare collaborative and traditional childbirth care models. METHODS: Cross-sectional study with 655 primiparous women in four public health system hospitals in Belo Horizonte, MG, Southeastern Brazil, in 2011 (333 women for the collaborative model and 322 for the traditional model, including those with induced or premature labor). Data were collected using interviews and medical records. The Chi-square test was used to compare the outcomes and multivariate logistic regression to determine the association between the model and the interventions used...
April 2014: Revista de Saúde Pública
Melissa Cheyney, Marit Bovbjerg, Courtney Everson, Wendy Gordon, Darcy Hannibal, Saraswathi Vedam
INTRODUCTION: Between 2004 and 2010, the number of home births in the United States rose by 41%, increasing the need for accurate assessment of the safety of planned home birth. This study examines outcomes of planned home births in the United States between 2004 and 2009. METHODS: We calculated descriptive statistics for maternal demographics, antenatal risk profiles, procedures, and outcomes of planned home births in the Midwives Alliance of North American Statistics Project (MANA Stats) 2...
January 2014: Journal of Midwifery & Women's Health
Fadıl Havas, Mukadder Orhan Sungur, Yılmaz Yenigün, Meltem Karadeniz, Miray Kılıç, Tülay Özkan Seyhan
OBJECTIVES: This prospective study aims to compare maternal and neonatal effects of spinal and general anesthesia for elective cesarean section. METHODS: Term parturients receiving routine spinal (Group SA, n=95) or general (Group GA, n=93) anesthesia and standard postoperative analgesia for elective cesarean section were included in this study. Operation time, incision-hysterotomy (TS-H) and hysterotomy-umbilical cord clamping (TH-U) intervals, oxytocine requirement, intraoperative fluids, ephedrine requirement, incidence of hypotension, time to first analgesic requirement (Tanalg), pethidine consumption, adverse events, time to first breastfeeding, oral food intake (TOI), flatulence (TF), defecation (TD), mobilization, and postoperative hospital stay were compared between the groups...
2013: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
Stine Bernitz, Pål Øian, Rune Rolland, Leiv Sandvik, Ellen Blix
OBJECTIVES: augmented and not augmented women without dystocia were compared to investigate associations between oxytocin and adverse birth outcomes. Augmented women with and without dystocia were compared, to investigate associations between dystocia and adverse birth outcomes. DESIGN: a cohort of low-risk nulliparous women originally included in a randomised controlled trial. SETTING: the Department of Obstetrics and Gynaecology, Østfold Hospital Trust, Norway...
March 2014: Midwifery
A Wyniecki, M Raucoules-Aimé, J de Montblanc, D Benhamou
AIMS: Although most components of an enhanced recovery programme (ERP) can be applied to caesarean delivery, it is unknown if their implementation is large in France. TYPE OF STUDY: Structured interview by telephone or e-mailing of an anaesthetist to describe usual perioperative practice in two French regions (Provence - Alpes - Côte d'Azur [PACA] and Île-de-France [IDF]). METHODS: Questionnaire related to scheduled caesarean delivery. RESULTS: Response rate 74% (111/149 maternity units)...
March 2013: Annales Françaises D'anesthèsie et de Rèanimation
Gabriella Martillotti, Mario Talajic, Eveline Rey, Line Leduc
BACKGROUND: Patients with congenital long QT syndrome (LQTS) are at increased risk of ventricular arrhythmia, particularly during labour and the puerperium. CASE: A 28-year-old primigravida with known LQTS underwent induction of labour at 41 weeks' gestation using a Foley catheter balloon and IV oxytocin. Vaginal delivery with passive second stage and outlet forceps was undertaken with early epidural analgesia to prevent tachycardia and psychological stress. The patient gave birth to a healthy female, and had an uncomplicated postpartum period under continuous electrocardiogram monitoring...
November 2012: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Su Lin Maureen Cheng, Dianne Bautista, Serene Leo, Tiong Heng Alex Sia
PURPOSE: The combined spinal epidural (CSE) technique for labor analgesia has become increasingly popular owing to its rapid onset of analgesia. However, incidences of fetal bradycardia following CSE have been reported. This study aimed to identify predictors of fetal bradycardia post CSE, such as a decrease in pain scores, the block height, Prostin (dinoprostone; Pfizer) use, and dosage of oxytocin. METHODS: From May 2008 to October 2008, 29 patients were identified to have had an episode of fetal bradycardia...
April 2013: Journal of Anesthesia
Sven Wellmann, Christoph Bührer
No abstract text is available yet for this article.
2012: Frontiers in Neuroscience
Javier Pascual-Ramírez, Javier Haya, Faustino Pérez-López, Silvia Gil Trujillo
OBJECTIVE: To create a Proportional Hazards Model of prospective factors associated with time-to-vaginal-delivery (TTVD). METHODS: We analyzed a group of 144 women undergoing childbirth who received one out of two possible axial analgesia techniques, to find-out factors associated with TTVD. The patients were randomly assigned to receive either a levobupivacaine labor epidural (bolus concentration 0.25 % or less; infusion concentration 0.125 % or less) or a combined spinal-epidural procedure (morphine 0...
October 2012: Archives of Gynecology and Obstetrics
Rafał Rzepka, Maciej Zukowski, Michał Michalczyk, Tomasz Nikodemski, Andrzej Torbé, Sebastian Kwiatkowski, Wioletta Mikołajek-Bedner, Ryszard Czajka
AIM: The aim of the study was to check the influence of patient control epidural analgesia on labor progress and neonatal outcome. MATERIAL AND METHODS: 144 parturients were included into the clinical trial. In 73 cases patient control epidural analgesia was used and in 71 cases pethidine (meperidine) solution was given intravenously. Apgar score, umbilical artery pH, pain intensity the time of the first, second and third stage of labor the rate of episiotomy and uterine postpartum abrasions and the rate of caesarean sections and vaginal operative delivery were compared...
February 2012: Ginekologia Polska
Wesam Farid Mousa, Roshdi Al-Metwalli, Manal Mostafa
BACKGROUND: Epidural analgesia is claimed to result in prolonged labor. Previous studies have assessed epidural analgesia vs systemic opioids rather than to parturients receiving no analgesia. This study aimed to evaluate the effect of epidural analgesia on labor duration compared with parturients devoid of analgesia. METHODS: One hundred sixty nulliparous women in spontaneous labor at full term with a singleton vertex presentation were assigned to the study. Parturients who request epidural analgesia were allocated in the epidural group, whereas those not enthusiastic to labor analgesia were allocated in the control group...
January 2012: Saudi Journal of Anaesthesia
Sarah L Buchanan, Jillian A Patterson, Christine L Roberts, Jonathan M Morris, Jane B Ford
AIM: To determine the trends in oxytocin use at a population level within New South Wales and to assess the maternal and neonatal morbidities associated with the use of oxytocin. METHODS: Trends in oxytocin use were assessed for women in NSW who were nulliparas at term with a singleton, cephalic fetus between 1998 and 2008. Maternal and neonatal morbidities were assessed in 2007-2008 using linked hospital and birth data with regression analysis. Oxytocin was also assessed by indication for use being either induction or augmentation of labour...
April 2012: Australian & New Zealand Journal of Obstetrics & Gynaecology
Linda Handlin, Wibke Jonas, Anna-Berit Ransjö-Arvidson, Maria Petersson, Kerstin Uvnäs-Moberg, Eva Nissen
OBJECTIVE: This study investigated possible influences of medical interventions during labor on maternal blood pressure during a breastfeed 2 days postpartum. SUBJECTS AND METHODS: Sixty-six primiparae with normal deliveries were consecutively recruited. Blood pressure was measured at -5, 10, 30, and 60 minutes during a morning breastfeed 2 days postpartum. Five treatment groups were formed based on the medical interventions received during labor: Non-medicated mothers (Control group, n=21); mothers receiving epidural analgesia (EDA) with oxytocin (OT) stimulation (EDA(OT) group, n=14); mothers receiving EDA without OT stimulation (EDA(non-OT) group, n=7); mothers receiving OT stimulation only (OT intravenously [iv] group, n=9); and mothers receiving 10 IU of OT intramuscularly (im) only (OT im group, n=15)...
April 2012: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Camilla Alexsandra Schneck, Maria Luiza Gonzalez Riesco, Isabel Cristina Bonadio, Carmem Simone Grilo Diniz, Sonia Maria Junqueira Vasconcellos de Oliveira
OBJECTIVE: To compare maternal and neonatal outcomes in low-risk women assisited in an alongside birth center and at a hospital. METHODS: A cross-sectional study was conducted with a representative sample of low-risk women in São Paulo (Southeastern Brazil), from 2003 to 2006. The study included 991 women who delivered a child at the alongside birth center and 325 who delivered a child at a hospital. Data were obtained from medical records. A comparative analysis was performed for all of the women, who were stratified according to parity...
February 2012: Revista de Saúde Pública
Salvatore Gizzo, Stefania Di Gangi, Carlo Saccardi, Tito Silvio Patrelli, Gianluca Paccagnella, Laura Sansone, Favaron Barbara, Donato D'Antona, Giovanni Battista Nardelli
BACKGROUND: The effect of epidural analgesia on labor and effective breastfeeding is still being debated. The aim of this study is to define its impact on the trend of labor, the newborns' well-being, and early breastfeeding. METHODS: We considered first-term physiologic pregnant women who delivered by the vaginal route. We divided them into two groups: group A received epidural analgesia during labor, whereas group B received no analgesia. We recorded maternal age, gestational age, modality of delivery, length of labor, and length of active labor...
August 2012: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
T-H Kim, J-M Kim, H-H Lee, S-H Chung, Y-P Hong
The aim of this pilot study was to determine whether nalbuphine shortens the duration of the active phase during the first stage of labour in pregnant women. Among 1,619 deliveries, we enrolled 302 pregnant women between March 2003 and August 2005. The case group received a nalbuphine injection (n = 57), while the remaining patients served as a control group (n = 245). The effects of nalbuphine on the length of labour were analysed using a survival analysis (log-rank test). The average duration of the initial active phase was 75 and 160 min for the case and control groups, respectively...
November 2011: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Judith P Rooks
INTRODUCTION: This review of the safety and risks of nitrous oxide (N(2) O) labor analgesia presents results of a search for evidence of its effects on labor, the mother, the fetus, the neonate, breastfeeding, and maternal-infant bonding. Concerns about apoptotic damage to the brains of immature mammals exposed to high doses of N(2) O during late gestation, possible cardiovascular risks from hyperhomocysteinemia caused by N(2) O, a hypothesis that children exposed to N(2) O during birth are more likely to become addicted to amphetamine drugs as adults, and possible occupational risks for those who provide care to women using N(2) O/O(2) labor analgesia are discussed in detail...
November 2011: Journal of Midwifery & Women's Health
Mary K Barger, Judith Weiss, Angela Nannini, Martha Werler, Tim Heeren, Phillip G Stubblefield
OBJECTIVE: To identify risk factors associated with uterine rupture among term pregnancies attempting a vaginal birth after a previous cesarean. STUDY DESIGN: A case-control study was done of 348 uterine ruptures in Massachusetts between 1991 and 1998, initially screened by ICD-9 code and confirmed by medical record review, with 424 control women with a trial of labor randomly selected proportional to cases on year of delivery. Multivariable regression was used to estimate odds ratios and 95% confidence intervals...
July 2011: Journal of Reproductive Medicine
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