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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3 Pt 1
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pubmed:dateCreated |
1987-3-30
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pubmed:abstractText |
A randomized double-blind study evaluated the analgesic efficacy and influence of maintaining a continuous epidural infusion of 0.75% lidocaine during the second stage of labor in nulliparous women. When the cervix was 8 cm or more dilated, unidentified study solution was substituted for the known 0.75% lidocaine solution and continued until delivery. The study solution for 26 patients was 0.75% lidocaine; 27 subjects received saline. During the first stage of labor, 88% of women in the lidocaine group and 81% of women in the saline group had analgesia of excellent or good quality, a nonsignificant difference. During the second stage, there was a tendency (not statistically significant) toward improved analgesia quality in the lidocaine patients, but there was no significant difference in the frequency of perineal anesthesia (23% lidocaine, 7% saline). There was no difference between the groups in the duration of the second stage of labor (73 +/- 63 versus 76 +/- 48 minutes). Operative delivery frequency was similar (31 and 37%), as were umbilical cord blood acid-base values. It is concluded that maintenance of the continuous epidural infusion of 0.75% lidocaine did not prolong the second stage of labor, but it also did not significantly differ from saline in quality of second stage analgesia or frequency of perineal anesthesia.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0029-7844
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
69
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
323-7
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pubmed:dateRevised |
2009-10-26
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pubmed:meshHeading |
pubmed-meshheading:3822279-Anesthesia, Epidural,
pubmed-meshheading:3822279-Anesthesia, Obstetrical,
pubmed-meshheading:3822279-Double-Blind Method,
pubmed-meshheading:3822279-Female,
pubmed-meshheading:3822279-Humans,
pubmed-meshheading:3822279-Labor, Obstetric,
pubmed-meshheading:3822279-Labor Stage, Second,
pubmed-meshheading:3822279-Lidocaine,
pubmed-meshheading:3822279-Pregnancy,
pubmed-meshheading:3822279-Random Allocation
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pubmed:year |
1987
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pubmed:articleTitle |
Continuous infusion epidural analgesia with lidocaine: efficacy and influence during the second stage of labor.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|