Abstract
We aimed to study, retrospectively, the neonatal outcome of 45 preterm neonates with intraventricular hemorrhage (IVH) who were delivered vaginally with intravenous meperidine (n = 23) or epidural analgesia (n = 22). Neonates in the epidural group had a better outcome in terms of a first-minute Apgar score of 7 or less, in 31% vs 69% (P = 0.001); 5-min Apgar score of 7 or less, in 18% vs 82% (P = 0.003); a lower incidence of respiratory distress syndrome (RDS; 23% vs 30%; P = 0.03); a lower dopamine requirement during the first neonatal week (13% vs 72%; P = 0.01); and a higher survival rate (91% vs 58%, respectively; P = 0.008). It is concluded that preterm neonates with IVH had a better outcome when delivered to mothers receiving epidural analgesia as compared to those receiving intravenous meperidine.
Original language | English (US) |
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Pages (from-to) | 90-93 |
Number of pages | 4 |
Journal | Journal of Anesthesia |
Volume | 21 |
Issue number | 1 |
DOIs | |
State | Published - Feb 1 2007 |
Keywords
- Analgesia in labor
- Intraventricular hemorrhage
- Neonatal complications
- Perinatal labor
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine