Oxytocin injection after Caesarean delivery: intravenous or intramyometrial?

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Oxytocin injection after caesarean delivery: intravenous or intramyometrial?

PURPOSE To determine, after Caesarean delivery, uterine contractility and blood pressure following intravenous (i.v.) and intramyometrial (imy) injection of oxytocin. METHODS In a double-blind clinical trial 40 parturients scheduled for elective Caesarean section with spinal anaesthesia were randomized into two equal groups. One litre Ringer's lactate was administered i.v. before intrathecal ...

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Pharmacokinetics of intravenous ketorolac following caesarean delivery.

BACKGROUND Drug disposition is altered by pregnancy and the peripartum period but data on intravenous ketorolac pharmacokinetics following caesarean delivery have not been previously reported. METHODS At the end of caesarean delivery, women received an intravenous bolus of ketorolac tromethamine 30 mg (immediate postpartum, Group IP). Plasma samples were collected at 1, 2, 4, 6 and 8h. A simi...

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Haemodynamic Effects of Oxytocin as Intravenous Bolus or Infusion on Women Undergoing Caesarean Section

Oxytocin is commonly used in obstetric practice as uterotonic drug for induction and augmentation of labour (1) and remains the drug of choice for facilitating uterine contractions during vaginal and operative delivery (2). Several regimens of oxytocin have been tested during cesarean delivery (CD) with variable wanted (uterotonic) and unwanted (cardiovascular) effects (3-7). When given as a ra...

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Signs of myocardial ischaemia after injection of oxytocin: a randomized double-blind comparison of oxytocin and methylergometrine during Caesarean section.

BACKGROUND ECG changes, similar to those seen during myocardial ischaemia, together with symptoms of chest pain, are common during Caesarean section (CS). We hypothesized that oxytocin administration has cardiovascular effects leading to these symptoms and ECG changes. METHODS Forty women undergoing elective CS under spinal anaesthesia were given an i.v. bolus of either 10 IU of oxytocin (Gro...

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Vaginal delivery after caesarean section.

The trend to deliver with caesarean section has increased in the recent years. The factors affecting this trend need re-consideration. Most of the women would deliver normally after a trial of labour alter previous caesarean section. The obstetricians should abide by ethics in clinical practice, carefully evaluate the indication before every caesarean section, and take an unbiased decision befo...

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ژورنال

عنوان ژورنال: Canadian Journal of Anaesthesia

سال: 1998

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03012092