Key result
Fluid preloading prior to lumbar epidural analgesia significantly reduces the incidence of abnormal fetal heart rate patterns (p = 0.02).
Why the study?
Does fluid preloading reduce the incidence of abnormal fetal heart rate patterns in women undergoing lumbar epidural analgesia?
Does fluid preloading reduce the incidence of abnormal fetal heart rate patterns in women undergoing lumbar epidural analgesia?
p-value: p=0.02
Fluid preloading prior to lumbar epidural analgesia significantly reduces the incidence of abnormal fetal heart rate patterns.
May support fluid preloading before epidural analgesia; Level 5 evidence leaves open confirmation in randomized trials.
Lumbar epidural analgesia is frequently associated with fetal heart rate abnormalities. Fluid preloading prior to the procedure significantly reduces the incidence of abnormal fetal heart rate patterns (p = 0.02). The mechanisms of these changes are discussed and the importance of maternal hypotension is evaluated. Fluid preloading and continuous electronic fetal monitoring should be considered routine for all women undergoing this procedure.
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Umstad et al. (1993) studied Lumbar epidural analgesia. Fluid preloading was evaluated on Abnormal fetal heart rate patterns (p=0.02). Fluid preloading prior to lumbar epidural analgesia significantly reduces the incidence of abnormal fetal heart rate patterns (p = 0.02).
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