Indian Journal of Anaesthesia  
About us | Editorial board | Search | Ahead of print | Current Issue | Past Issues | Instructions
Home | Login  | Users Online: 3394  Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size    


CLINICAL INVESTIGATION
Year : 2008  |  Volume : 52  |  Issue : 3  |  Page : 282-287

Comparison of Combined Spinal Epidural Technique and Low Dose Epidural Technique in Progress of Labour


1 Senior Resident, Department of anesthesiology & critical care, Maulana Azad Medical College, Delhi, India
2 Director Professor & Ex HOD, Department of anesthesiology & critical care, Maulana Azad Medical College, Delhi, India
3 Professor, Department of anesthesiology & critical care, Maulana Azad Medical College, Delhi, India

Correspondence Address:
Amit G Bhagwat
NU 17 A, Pitam Pura, New Delhi- 110034
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

The combined spinal epidural (CSE) technique is gaining popularity as it is associated with rapid onset of analgesia and it has a flexibility of an epidural catheter insertion. Though both epidural and CSE technique provide effective analgesia, epidural technique is reported to be associated with prolonged labour. By contrast, CSE technique is observed by many workers to be associated with shortened labour and increased rate of cervical dilatation. How­ever, it is not clear whether rapid rate of cervical dilatation is the physiologic effect of the CSE technique or it is an artifact of patient selection, as CSE technique is usually used in the patient in advanced stage of labour requiring rapid analgesia. We hypothesized that rapid cervical dilatation seen with CSE technique is physiologic effect of the technique and not mere an artifact and compared the CSE and epidural techniques with regard to progress of labour with special emphasis on rate of cervical dilatation and duration of labour. Sixty healthy nulliparous parturients in spontaneous labour with singleton fetus were randomized in a prospec­tive double blinded manner to receive either CSE analgesia or epidural analgesia. The epidural group (n= 30) received 10 ml bolus of 0.0625% bupivacaine+ 0.0002% fentanyl& the CSE group (n= 30) received intrathecally 25 mcg fentanyl + 1.25 mg bupivacaine. The rate of cervical dilatation was significantly greater in the CSE group as com­pared to the epidural group (3.5 ± 0.752 cm / hr vs. 2.0 ± 1.122, P = 0.000)& the duration of active stage of first stage of labour was significantly shorter in-group CSE (117.5 ±25.57 min vs. 192.5 ± 12 min, P = 0.000).


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1555    
    Printed88    
    Emailed0    
    PDF Downloaded373    
    Comments [Add]    

Recommend this journal