Key result
Epidural anaesthesia with prior crystalloid infusion significantly decreased maternal uteroplacental and fetal umbilical artery systolic/diastolic ratios during caesarean section.
Why the study?
Does epidural bupivacaine and crystalloid infusion improve maternal uteroplacental and fetal umbilical artery blood flow resistance in normal patients undergoing elective caesarean section?
Population
8 otherwise normal patients undergoing elective lower segment caesarean section
Design
Case_series
Authors
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Should not change caesarean anaesthesia practice; leaves open whether epidural with crystalloid improves uteroplacental flow.
Observational (n=8)
Does epidural bupivacaine and crystalloid infusion improve maternal uteroplacental and fetal umbilical artery blood flow resistance in normal patients undergoing elective caesarean section?
Epidural anesthesia and crystalloid infusion decrease maternal uteroplacental and fetal umbilical artery blood flow resistance, suggesting improved maternal uterine perfusion.
Giles et al. (1987) conducted an observational in Elective lower segment caesarean section (n=8). Intravenous crystalloid infusion and epidural bupivicaine injection was evaluated on Maternal uteroplacental and fetal umbilical artery systolic/diastolic (A/B) ratios. Epidural anaesthesia with prior crystalloid infusion significantly decreased maternal uteroplacental and fetal umbilical artery systolic/diastolic ratios during caesarean section.
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