Can Oxytocin Augmentation Modify the Risk of Epidural Analgesia by Maternal Age in Cesarean Sections?

This study examined the effects and interactions of oxytocin augmentation, epidural analgesia and maternal age on the risk of cesarean section in nulliparous women.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research

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This study aimed to compare the long-term reproductive and obstetric outcomes in women treated for FOC during their first pregnancy with women who did not experience FOC with their first pregnancy.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mother, Fetus, Neonate Source Type: research
In this study, the investigators aimed to examine the effects and benefits of 50% maternal oxygen concentration on fetal oxygenation, oxidant stress, and total antioxidant status (TAS).
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mother, Fetus, Neonate Source Type: research
This study was undertaken to ascertain blood transfusion and PPH rates related to chosen delivery method (VBAC or ERCS) for women with a prior cesarean delivery, as well as to determine the effect of the number of prior cesarean deliveries on transfusion rates.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research
(Acta Obstet Gynecol Scand. 2019;98:117–126) National guidelines in Norway state that all cesarean deliveries should be medically indicated, with the final decision regarding delivery mode being made by the obstetrician after discussion with the patient. Trial of labor after cesarean (TOLAC) has been associated with a higher risk of adverse perinatal outcomes when compared to a planned repeat cesarean delivery (CD). Previous studies regarding TOLAC outcomes have used populations with relatively low TOLAC rates or have taken place at centers with a policy that allows repeat CD by maternal request. Norway, however, ha...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research
Conclusions: In vivo exposure to remifentanil exerts a beneficial effect against excitotoxicity on the developing mouse brain, which is associated with a reduction in the size of ibotenate-induced brain lesion as well as prevention of some behavioral deficits in young mice. The long-term effect of neonatal exposure to remifentanil should be investigated. Introduction The potential neurotoxicity of anesthetics in the perinatal period prompted the US Food and Drug Administration (FDA) to release a drug safety communication warning in 2016 that stated, “repeated or lengthy use of general anesthetics or sedation ...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
AbstractBackgroundAlthough delayed umbilical cord clamping has been shown to have significant benefits for both term and preterm infants, currently, data on its impact on blood gas analysis have been scant and conflicting.MethodsIn a retrospective review, we compared the demographic characteristics and blood gas parameters of 114 delayed cord clamping (DCC —births between 45 and 90 s in length; 109 being for 60 s) versus 407 early cord clamping births (ECC—immediately after delivery) collected over a 1-year period. Intrapartum care and timing of cord clamping for individual cases were performed at the...
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
(Acta Anaesthesiol Scand. 2018;62:293–303) S100β is a sensitive and reliable biomarker that can be used to detect brain damage and hypoxia and ischemia in the fetuses of pregnant patients. In fact, previous studies have demonstrated S100β as a sensitive marker for fetal brain apoptosis, particularly when the fetal brain is exposed to a high concentration of general anesthetic (GA). Although S100β has been well studied in animal models, its effectiveness in human subjects is yet to be confirmed. In the present study, the authors compared the ratio of S100β from umbilical artery to umbilical vein (...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Anesthesia and Analgesia: General Anesthesia Source Type: research
This study aimed to assess the association between maternal super obesity and ICU admission in women who delivered by CS or vaginal birth after cesarean section (VBAC).
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mechanisms, Equipment, Hazards Source Type: research
BackgroundThe serotonergic system is known to be involved in control of post‐anesthetic shivering. Our hypothesis was that prophylactic granisetrone (serotonin antagonist) might reduce incidence of post‐ spinal anesthesia shivering in cesarean section. MethodsParturient scheduled for elective Caesarean delivery under spinal anesthesia were allocated to receive 0.9% saline (Group I, n = 71), 1 mg granisetron (Group II, n = 69), or 0.7 mg granisetron (Group III, n = 72) before the spinal block. Assessment parameters included; hemodynamics, tympanic membrane temperature, neonatal Apgar score, shivering score, patient sati...
Source: Acta Anaesthesiologica Scandinavica - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
ConclusionThe failure rate of epidural extension did not differ significantly between the groups. Further research is needed to determine the influence of body mass index> 50 kg/m2 on epidural extension for cesarean section.
Source: Acta Anaesthesiologica Scandinavica - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
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