Subcutaneous fentanyl for labour analgesia: a retrospective case note review
| Autor: | E.R. Randall, C. Sok, Julie-Anne Fleet, Allan M Cyna |
|---|---|
| Přispěvatelé: | Fleet, J, Sok, C, Randall, ER, Cyna, AM |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty fentanyl Fentanyl 03 medical and health sciences 0302 clinical medicine Pregnancy 030202 anesthesiology medicine Humans Maternal Health Services Adverse effect Retrospective Studies labour analgesia Analgesics 030219 obstetrics & reproductive medicine business.industry Obstetrics Incidence (epidemiology) Infant Newborn Obstetrics and Gynecology Guideline Analgesia Epidural Labour analgesia Pethidine Anesthesiology and Pain Medicine Analgesia Obstetrical Female subcutaneous Apgar score Analgesia business Body mass index medicine.drug |
| Zdroj: | International Journal of Obstetric Anesthesia. 45:138-141 |
| ISSN: | 0959-289X |
| DOI: | 10.1016/j.ijoa.2020.10.009 |
| Popis: | Background: In 2017, a South Australia Perinatal Practice Guideline was introduced state-wide for the use of subcutaneous fentanyl for labour analgesia as a replacement for intramuscular pethidine. We retrospectively reviewed the implementation of this practice change in our institution. Methods: A retrospective review of maternal and neonatal case notes for the first 100 women administered subcutaneous fentanyl in labour at a single tertiary referral centre for maternity care, between February and June 2017. Results: Of the 102 women administered subcutaneous fentanyl, the majority (55%) were primipara, with an average maternal age of 29 years and body mass index of 27 kg/m2. The median total fentanyl dose administered was 200 µg and the average time from last dose to birth was 3 h. The majority of women (70%) did not require additional rescue labour analgesia and 80% had a spontaneous vaginal birth. All neonates had a 5-min Apgar score >7. The median Apgar score at 1 and 5 min was 9. No neonate had an arterial cord blood pH |
| Databáze: | OpenAIRE |
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