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Canadian Journal of Anesthesia, Vol 16, 144-150, Copyright © 1969 by Canadian Anesthesiologists' Society

Control Of Pain during Labour

HENRY J. SHYKOFF M.D.1

1 Department of Anaesthesia, Toronto East General and Orthopaedic Hospital

An epidural block using dibucaine (Nupercaine) 1:1500 with epinephrine 1:200,000 will give analgesia during labour lasting up to six hours. This is usually long enough to carry most patients through their first stage of labour in comfort with no physiological changes in mother or baby. The mother behaves as if she were in mild easy labour. The foetal heart rate is unaffected. The Apgar rating at delivery is good. Oxytocin-induced contractions are well tolerated. Bearing down is excellent despite some vaginal discomfort, which can be readily controlled if an epidural catheter is used. Only a small dose of anaesthetic agent is needed for delivery, and therefore muscle strength remains good, and forceps are not always necessary.

We have described a programme of obstetrical analgesia resulting in controlled painless labour and delivery with minimal changes in maternal and foetal physiology.

Note:

Presented at the Annual Meeting, Canadian Anaesthetists' Society, May 13-16, 1968.






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Copyright © 1969 by the Canadian Anesthesiologists' Society.