Aims: As old paracervical block using Kobak needle was abondoned developing fetal bradycardia, new safe vaginal submucosal anesthesia was tried to safely remove labor pain.
Methods: Three ml local anesthetics was injected to vaginal submucosal tissue with 2 mm exposed 22G 14 cm long Cathelin needle, and 5 mm exposed needle injecting 7-10ml anesthetics to block pudendal nerve.
Results: Analgetic and relaxation effects were sufficient, despite no fetal and maternal damage was experienced among 4,070 cases of anesthesia in 6,976 births. Local anesthesia was repeated if it was necessary.
Conclusion: Anesthesia technique was simple and analgesia effect was excellent. No adverse effect developed due to shallow injection of small amount of local anesthetics. Vaginal delivery was promoted, and teminal fetal heart rate abnormality reduced due to the decreased resistance of birth canal, which resulted the reduction of emergency cesarean section.
Published on: Jul 12, 2016 Pages: 1-13
Ohio State University, USA
Journal of Cardiovascular Medicine and Cardiology
ReGenera R&D International for Aging Intervention & San Babila Clinic, Milano, Italy
Archives of Clinical Gastroenterology
Sassari University, Italy
Archive of Urological Research
Hon. Pierre Guertin
Laval University, Canada
Global Journal of Obesity, Diabetes and Metabolic Syndrome
William CS Cho
Queen Elizabeth Hospital, Hong Kong
International Journal of Immunotherapy and Cancer Research