Uteroplacental and fetal haemodynamics during extradural anaesthesia for caesarean section

S. Alahuhta, J. Räsänen, R. Jouppila, P. Jouppila, T. Kangas-saarela, A. I. Hollmen

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

We have studied the effects of extradural anaesthesia with bupivacaine (plain) in eight healthy parturients undergoing elective Caesarean section, on blood flow in maternal uterine and placental arcuate arteries and in fetal umbilical, renal and middle cerebral arteries, using a colour Doppler technique. Simultaneously, fetal myocardial function was investigated by M-mode echocardiography. Maternal and fetal blood velocity waveform indices did not change significantly. We found no changes in fetal myocardial function with extradural anaesthesia, except for an increase in the right ventricular inner end-diastolic dimensions. These results suggest that extradural anaesthesia has no detrimental effects on uteroplacental and fetal circulations in the uncomplicated pregnancy when maternal hypotension is avoided with rapid prehydration.

Original languageEnglish (US)
Pages (from-to)319-323
Number of pages5
JournalBritish journal of anaesthesia
Volume66
Issue number3
DOIs
StatePublished - Mar 1991

Keywords

  • Anaesthesia: obstetric
  • Anaesthetic techniques: extradural
  • Measurement techniques: Doppler ultrasonics, echocardiography
  • Placenta: blood flow velocity
  • Uterus: blood flow

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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    Alahuhta, S., Räsänen, J., Jouppila, R., Jouppila, P., Kangas-saarela, T., & Hollmen, A. I. (1991). Uteroplacental and fetal haemodynamics during extradural anaesthesia for caesarean section. British journal of anaesthesia, 66(3), 319-323. https://doi.org/10.1093/bja/66.3.319