Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2006     Volumen 31     Number 1-2
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UDK 618.4-089.5-031.3 ISBN 0350-2899, 31(2006) 1-2 p. 16-18
Case report

First delivery in epidural anesthesia in Obstretics Ward in Zaječar - Case report

Dragoslav Kalinović (1), Miroslav Cokić (2), Slobodan Žikić(1), Tatjana Penčić (2),
Nenad Urošević (2)

Zdravstveni centar Zaječar, (1) Ginekološko-akušerska služba, (2) Služba anestezilogije



Modern obstetrics aims at painless delivery, where neither mother’s nor baby’s life would be endangered. Regional (block) anesthesia and analgesia in obstetrics serves this purpose best, namely enables analgesia of the mother with negligible influence on the embryo. Epidural anesthesia and analgesia as a form of regional anesthesia consists of application of local anesthetic in epidural space and is considered as one of the best types of anesthesia in obstetrics. I remark that in our ward the decision to apply this intervention is jointly reached by the patient, namely the mother, obstetrician and anesthesiologist. Upon placing epidural catheter from conversation with the patient we learn that she feels no pains but some vague pressure in lower part of the stomach. After we have examined the patient gynecologically and ascertained a complete dilatation of cervical duct, we increase infusion of Syntocinon, we perform episiotomy, and we want the mother to assist in expulsion of the embryo with her labor pains. Son after this a baby boy is born weighing 3600g, 56cm long which cried immediately. Epidural analgesia must not be understood as a miraculous method for all delivering women. Golden rule in obstetric anesthesia is that if a pregnant woman has no pains then she does not need analgesia. Nevertheless, any appropriate obstetrics ward would have to use various methods of anesthesia application in delivery. Epidural block is thus on top of the need list of such a ward.
Key words: epidural anesthesia, painless delivery.

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian

  Corresponding Address:
Dragoslav Kalinović
Dunavska 3, 19000 Zaječar
e-mail: kalinovic@ptt.yu

Paper received: 07.02.2005.
Paper accepted: 01.09.2005.
Published online: 22.09.2006.
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