Baumgarten K, Neubauer T, Bartosch B, Neumann M, Kiesswetter E, Sadek E
Geburtshilfe Frauenheilkd. 1984 Mar;44(3):150-4. doi: 10.1055/s-2008-1036869.
In an Obstetric Department with approximately 2,000 deliveries yearly, offry third mother is delivered under epidural anesthesia. In a group of 600 maternity patients, the effectiveness, the side effects and the changes in the fetal cardiotocogram were examined during labour and delivery under epidural anesthesia. Evaluated were questionnaire to the mothers with mainly subjective impressions, the anesthetic protocol, and the protocol of labour and delivery including the internal cardiotocogram. 85% of the mothers would have a future delivery under an epidural anesthesia. The incidence of headaches and its independence of the type of obstetric analgesia and anesthesia is mentioned. The number of punctures, the technique of epidural anesthesia, the concentration of the local anesthetic used, failures and side effects are described. The incidence of cesarian sections, fetal morbidity and changes in the cardiotocogram are discussed in detail. The incidence of transilent silent decelerations and alarm dips in the cardiotocogram are mentioned. This study shows that epidural anesthesia is free of risks and a highly effective method for the conduct of obstetric analgesia.
在一个每年约有2000例分娩的产科科室，约三分之一的产妇在硬膜外麻醉下分娩。在一组600名产妇中，对硬膜外麻醉下分娩过程中的有效性、副作用以及胎儿心动图的变化进行了检查。评估内容包括向母亲发放的主要是主观感受的问卷、麻醉方案以及包括内部心动图在内的分娩方案。85%的母亲表示未来分娩时愿意接受硬膜外麻醉。文中提到了头痛的发生率及其与产科镇痛和麻醉类型的无关性。描述了穿刺次数、硬膜外麻醉技术、所用局部麻醉剂的浓度、失败情况和副作用。详细讨论了剖宫产的发生率、胎儿发病率以及心动图的变化。文中提到了心动图中短暂性胎心减速和警报性下降的发生率。这项研究表明，硬膜外麻醉无风险，是进行产科镇痛的一种高效方法。
