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The effects of epidural chloroprocaine with and without 1:200,000 epinephrine during labor and delivery on uterine activity, progress of labor, fetal heart rate, maternal blood pressure, newborn Apgar scores, neonatal acid-base status, and the Neurologic and Adaptive Capacity Scoring System (NACS) were compared in 28 parturients. Patients in group I (n = 14) received 2% chloroprocaine with 1:200,000 epinephrine and patients in group II (n = 14) received 2% plain chloroprocaine. Addition of epinephrine to chloroprocaine had no significant effects on uterine activity, duration of first or second stages of labor, or fetal heart parameters. Apgar scores, neonatal acid-base status, and the NACS were equally good in the two groups. Duration of analgesia was significantly longer in group I than in group II patients (76 +/- 3.8 vs 42.9 +/- 1 min, P less than 0.001). We conclude that addition of epinephrine to chloroprocaine during epidural anesthesia in the normal parturient has no adverse effects on mother, fetus, neonate, or the progress of labor and that it significantly prolongs the duration of anesthesia.
T K Abboud, and
L DerSarkissian, and
J Terrasi, and
K Murakawa, and
J Zhu, and
M Longhitano
November 1984,
Anesthesia and analgesia,
T K Abboud, and
L DerSarkissian, and
J Terrasi, and
K Murakawa, and
J Zhu, and
M Longhitano
January 1989,
Regional anesthesia,
T K Abboud, and
L DerSarkissian, and
J Terrasi, and
K Murakawa, and
J Zhu, and
M Longhitano
August 1982,
Anesthesia and analgesia,
T K Abboud, and
L DerSarkissian, and
J Terrasi, and
K Murakawa, and
J Zhu, and
M Longhitano
December 1974,
American journal of obstetrics and gynecology,
T K Abboud, and
L DerSarkissian, and
J Terrasi, and
K Murakawa, and
J Zhu, and
M Longhitano
December 1983,
Anesthesia and analgesia,
T K Abboud, and
L DerSarkissian, and
J Terrasi, and
K Murakawa, and
J Zhu, and
M Longhitano
October 1983,
Anesthesia and analgesia,
T K Abboud, and
L DerSarkissian, and
J Terrasi, and
K Murakawa, and
J Zhu, and
M Longhitano
April 1984,
Anesthesia and analgesia,
T K Abboud, and
L DerSarkissian, and
J Terrasi, and
K Murakawa, and
J Zhu, and
M Longhitano
February 1985,
American journal of obstetrics and gynecology,
T K Abboud, and
L DerSarkissian, and
J Terrasi, and
K Murakawa, and
J Zhu, and
M Longhitano
January 1985,
Obstetrics and gynecology annual,
T K Abboud, and
L DerSarkissian, and
J Terrasi, and
K Murakawa, and
J Zhu, and
M Longhitano
November 1972,
American journal of obstetrics and gynecology,
