Fluid loading to reduce abnormalities of fetal heart rate and maternal hypotension during epidural analgesia in labour.
- 25 November 1978
- Vol. 2 (6150) , 1460-1461
- https://doi.org/10.1136/bmj.2.6150.1460
Abstract
Fetal heart rate (FHR) was recorded and maternal blood pressure measured in 104 patients in whom lumbar epidural analgesia was induced in labour. Fifty-one patients received an intravenous load of 11 of Hartmann's solution immediately before the epidural injection. This infusion significantly reduced the incidence of abnormalities of FHR from 34% to 12% and of maternal hypotension from 28% to 2%. We did not study mothers with pre-eclampsia and hypertension, but we conclude that there is a strong case for preloading all other mothers in whom lumbar epidural analgesia is induced in labour.Keywords
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