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Lendadeyfingar við fæðingar

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L1990-05-75-F5.PDF
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Authors
Jón Sigurðsson
Guðjón Sigurbjörnsson
Issue Date
1990-05-15

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Citation
Læknablaðið 1990, 76(5):243-52
Abstract
During the last 10 years, epidural analgesia has become one of the most frequently used methods to relieve pain in labour. In the labour ward of Landspitalinn, The National Hospital of Iceland, epidural analgesia was administered 925 times during the year 1988, including epidural analgesia for Caesarean sections. The present study was confined to those 581 women given epidural analgesia for vaginal delivery (24% of vaginal deliveries). Analgesic effect was considered good in 90.0% of cases, good or relatively good in 93.5%, and poor in 6.5%. Upon questioning 92.8% of the women were satisfied with the results. No permanent complications occurred. A significant fall in blood pressure occurred in 4% of cases, but never to a serious degree. Dural puncture occurred twice, resulting in post-lumbar puncture headache in both cases. Meningeal irritation occurred in one case, resolving with complete recovery within a week.
Lendadeyfing er nú mikið notuð sem verkjameðferð við fæðingar. Kannaður var árangur af þessum deyfingum í fæðingum á kvennadeild Landspítalans á árinu 1988. Heildarfjöldi lendadeyfinga var 925 að meðtöldum keisaraskurðum. Lendadeyfing var notuð í þriðjungi allra fæðinga á árinu. Athugunin tók til kvenna sem fæddu um fæðingarveg og fengu lendadeyfingu, en þær voru 581 (24%). Árangur var metinn góður í 90% tilvika, góður eða sæmilegur í 93.5%, en lítill eða enginn í 6.5% tilvika. Flestar, eða 92.8%. Voru ánægðar með deyfinguna. Blóðþrýstingslækkun varð í 4% tilvika, þó aldrei alvarleg. Tvívegis var nál stungið inn fyrir mænubast og leiddi í báðum tilvikum til höfuðverkjar, sem í hvorugt skiptið varð langvinnur. Grunur vaknaði um alvarlegan fylgikvilla, bólgu í mænuhimnum, í einu tilviki, en konan náði sér fullkomlega á stuttum tíma.
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http://www.laeknabladid.is
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Icelandic Journal Articles (Peer Reviewed)

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