Labor analgesia for the parturient with spinal cord injury: What does an obstetrician need to know?

被引：11
作者：
Kuczkowski K.M. [1 ]
机构：
[1] Departments of Anesthesiology and Reproductive Medicine, UCSD Medical Center, San Diego, CA 92103-8770
来源：
Archives of Gynecology and Obstetrics | 2006年 / 274卷 / 2期
关键词：
Autonomic dysreflexia; Autonomic hyperreflexia; Labor analgesia; Obstetric anesthesia; Pregnancy; Spinal cord injury; Trauma;
D O I：
10.1007/s00404-006-0126-2
中图分类号：
学科分类号：
摘要：
Each year more than 2,000 women of child-bearing age in the United States alone sustain a spinal cord injury (SCI). As a result of increased survival rates in women with SCI the number of parturients with SCI is increasing. The literature documenting peripartum obstetric and anesthetic management of pregnant patients with SCI is very limited. Any parturient with SCI whose level of transection is at the level of T6 or higher is at risk for acute autonomic hyperreflexia (AHR) as a result of uterine contractions. Expeditious induction of labor analgesia may prevent or ameliorate peripartum complications (including AHR) in laboring parturients with SCI. © Springer-Verlag 2006.
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页码：108 / 112
页数：4
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