
Labor analgesia in parturients of fetal growth restriction having raised umbilical Doppler vascular indices
Author(s) -
Sukhen Samanta,
Kajal Jain,
Neerja Bhardwaj,
Vanita Jain,
Preet Mohinder Singh,
Sujay Samanta,
Veenu Singla,
Rini Saha
Publication year - 2018
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/joacp.joacp_150_16
Subject(s) - medicine , ropivacaine , umbilical artery , tramadol , anesthesia , vascular resistance , blood flow , umbilical cord , fetus , apgar score , hemodynamics , pregnancy , cardiology , analgesic , anatomy , biology , genetics
Fetuses with abnormal umbilical blood flow are at a higher risk of adverse perinatal outcome than those with normal flow. Epidural analgesia (EA) has shown to decrease villous vascular resistance in preeclamptic women during labor. The present study evaluates the effects of epidural ropivacaine and intramuscular (IM) tramadol on Doppler blood flow in parturients with fetal growth restriction and raised umbilical artery (UmA) blood flow.