[Analgesia of labor in women with diabetes mellitus]

Anesteziol Reanimatol. 2015 Jan-Feb;60(1):16-8.
[Article in Russian]

Abstract

The article deals with a study of duration of physiological labors in women with diabetes mellitus.

Patients and methods: 120 women were devided into three groups according to method of analgesia. We assessed data of central haemodynamics, efficacy of analgesia, glucose level in blood, conditions of fetus and newborn.

Results: We found that epidural analgesia with bupivacaine hydrochloride was an optimal method of labor analgesia in women with diabetes mellitus. This method provided a stabilization of glucose level in blood, normalization of data of central haemodynamics and allowed to avoid anomalies of labor

Conclusions: Analgesia with promedol and paracetamol is a preferable method in case of presence of epidural analgesia contraindications.

MeSH terms

  • Adolescent
  • Adult
  • Amides / administration & dosage
  • Amides / therapeutic use
  • Analgesia, Epidural / methods*
  • Analgesia, Obstetrical / methods*
  • Analgesics / administration & dosage
  • Analgesics / therapeutic use
  • Apgar Score
  • Blood Glucose / analysis
  • Diabetes Mellitus* / blood
  • Diabetes Mellitus, Type 1 / blood
  • Diabetes, Gestational / blood
  • Female
  • Hemodynamics / drug effects
  • Humans
  • Infant, Newborn
  • Labor Pain / drug therapy*
  • Labor, Obstetric / drug effects
  • Pregnancy
  • Pregnancy Outcome
  • Pregnancy in Diabetics* / blood
  • Ropivacaine
  • Young Adult

Substances

  • Amides
  • Analgesics
  • Blood Glucose
  • Ropivacaine