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  • Title: [The effect of segmental epidural analgesia on the duration of labor in spastic dystocia].
    Author: Viceić M, Skrablin S, Latin V.
    Journal: Jugosl Ginekol Perinatol; 1989; 29(5-6):177-9. PubMed ID: 2640265.
    Abstract:
    In 77 parturients, owing to spastic distotia, the labour was conducted in continuous epidural analgesia, while in the control group of parturients with the same diagnosis (N = 32), the intramuscular use of pethidine and diazepam was repeatedly applied. The epidural catheter was placed at the 2-3 cm dilated cervix. Carticain with or without fentanyl was used as a local anaesthetic. The average duration of labour from the beginning to the 2-3 cm cervical opening was 9.3 hours in the group of epidural analgesia applied parturients and 4.3 hours in the control group. The continuation of labor in the examined group lasted 3.7 hours and in the control group 12 hours. The difference is significant (p less than 0.01). A spontaneous vaginal delivery in the examined group was recorded in 77.9% women. There were 14.3% cesarean sections in the examined and 46.8% in the control group. A protracted labour was a significantly more frequent indication (p less than 0.01) for such a termination of labour in the control group.
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