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December 1, 1974BJOG An International Journal of Obstetrics & Gynaecology

The Effect of Continuous Lumbar Epidural Analgesia Upon Fetal Acid‐base Status During the Second Stage of Labour

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Why the study?

Does continuous lumbar epidural analgesia improve fetal acid-base status in mothers and fetuses in the second stage of labour?

Population

Mothers and fetuses in the second stage of labour

Comparison

Continuous lumbar epidural analgesia with… vs Conventionally managed second stage of labour

Design

Other

Follow-up

during the second stage of labour

Authors

JPJames F. PearsonThe Open UniversityPDPaul DaviesRoyal Children's Hospital

Discussion

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Implication

Epidural may blunt maternal acidosis in second-stage labor; leaves open fetal acid-base effects and should not yet change practice.

Structured PICO

Does continuous lumbar epidural analgesia improve fetal acid-base status in mothers and fetuses in the second stage of labour?

P
Population
Mothers and fetuses in the second stage of labour
I
Intervention
Continuous lumbar epidural analgesia with suppression of the bearing-down reflex
C
Comparator
Conventionally managed second stage of labour
O
Outcome
Fetal acid-base statussurrogate

Continuous lumbar epidural analgesia prevents maternal metabolic acidosis during the second stage of labour but does not prevent cumulative fetal metabolic acidosis.

Cite This Study

Pearson et al. (1974) studied this question.

synapsesocial.com/papers/6a8ade02de5ec4e001e3a830https://doi.org/10.1111/j.1471-0528.1974.tb00417.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1THE EFFECT OF CONTINUOUS LUMBAR EPIDURAL ANALGESIA ON MATERNAL ACID‐BASE BALANCE AND ARTERIAL LACTATE CONCENTRATION DURING THE SECOND STAGE OF LABOUR1973 · 48 citations
  2. 2THE EFFECT OF CONTINUOUS LUMBAR EPIDURAL ANALGESIA UPON FETAL ACID‐BASE STATUS DURING THE FIRST STAGE OF LABOUR1974 · 51 citations
  3. 3AN IMPROVED CLINICAL METHOD FOR THE ESTIMATION OF DISTURBANCES OF THE ACID-BASE BALANCE OF HUMAN BLOOD1948 · 612 citations
  4. 4The pH-log pCO2acid-base nomogram revised1962 · 323 citations
  5. 5Standard Bicarbonate, its Clinical Significance, and a new Method for its Determination1957 · 143 citations