Fluid loading to reduce abnormalities of fetal heart rate and maternal hypotension during epidural analgesia in labour
K M Collins, D R Bevan, R W Beard, K M Collins, D R Bevan, R W Beard
Abstract
Fetal heart rate (FHR) was recorded and maternal blood pressure measured in 104 patients in whom lumbar epidural analgesia was induced in labour. Fifty-one patients received an intravenous load of 11 of Hartmann's solution immediately before the epidural injection. This infusion significantly reduced the incidence of abnormalities of FHR from 34% to 12% and of maternal hypotension from 28% to 2%. We did not study mothers with pre-eclampsia and hypertension, but we conclude that there is a strong case for preloading all other mothers in whom lumbar epidural analgesia is induced in labour.
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Source: PubMed