Why the study?
Does combined spinal epidural analgesia with fentanyl and low dose bupivacaine affect maternal blood pressure and pulse rate in labour?
Population
62 women in labour
Design
Cohort
Follow-up
during labour and immediately postpartum
Authors
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Transient post-injection SBP drop warrants monitoring; leaves open need for RCTs on ambulatory CSE safety.
Does combined spinal epidural analgesia with fentanyl and low dose bupivacaine affect maternal blood pressure and pulse rate in labour?
Combined spinal epidural analgesia in labor causes a transient fall in systolic blood pressure within 30 minutes of spinal injection, but does not cause significant hypotension during ambulation or subsequent epidural doses.
Shennan et al. (1995) studied this question.
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