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  • Title: [Optimal modes of epidural analgesia at labor in females at a high risk of complications].
    Author: Kim ED, Seminikhin AA.
    Journal: Anesteziol Reanimatol; 2006; (4):59-62. PubMed ID: 17061589.
    Abstract:
    A total of 1570 females were examined. They were divided into 3 groups: (1) 780 pregnant females and puerperas with varying preeclampsia; (2) 560 pregnant females and puerperas with acquired rheumatic heart diseases; 3) 230 puerperas with chronic nonspecific lung diseases. For labor pain relief Group 1 received continuous epidural analgesia with 1% lidocaine (1 mg/kg) in combination with clonidine (clofelin) (1 microg/kg); Group 2 was given 1% lidocaine (1 mg/kg) in combination with morphine (0.08-0.1 mg/kg); Group 3 had 1% ultracaine (1 mg/kg. The proposed modes of epidural analgesia provide a reliable antinociceptive protection of females at labor and hemodynamic stability and exert no significant negative effect on babies in the early adaptation period.
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