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RECENT ADVANCES IN OBSTETRIC ANALGESIA

RECENT ADVANCES IN OBSTETRIC ANALGESIA The principles that govern good obstetric analgesic practice are the provision of pain relief for the expectant mother, the prevention of maternal complications, and the protection of the newborn from respiratory and circulatory depression. In the United States, more than 100,000 fatalities per year occur on the day of birth and the estimated incidence of sequelae is even greater. It is felt that a decrease of mortality and morbidity might be effected by a better understanding of the recently available pharmacological tools and the exercise of greater precision in their use. The method of analgesia that is most popular at the present time is the use of the short-acting barbiturates, such as pentobarbital (Nembutal) or secobarbital (Seconal) in the dose of 3/4 to 1 1/2 grains (50 to 100 mg.) early in labor to allay anxiety and apprehension. During the active phase of labor, meperidine (Demerol) hydrochloride (50 to 100 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

RECENT ADVANCES IN OBSTETRIC ANALGESIA

Cappe, Bernard E.; Pallin, Irving M.
JAMA , Volume 154 (5) – Jan 30, 1954
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Publisher
American Medical Association
Copyright
Copyright © 1954 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1954.02940390001001
Publisher site
See Article on Publisher Site

Abstract

The principles that govern good obstetric analgesic practice are the provision of pain relief for the expectant mother, the prevention of maternal complications, and the protection of the newborn from respiratory and circulatory depression. In the United States, more than 100,000 fatalities per year occur on the day of birth and the estimated incidence of sequelae is even greater. It is felt that a decrease of mortality and morbidity might be effected by a better understanding of the recently available pharmacological tools and the exercise of greater precision in their use. The method of analgesia that is most popular at the present time is the use of the short-acting barbiturates, such as pentobarbital (Nembutal) or secobarbital (Seconal) in the dose of 3/4 to 1 1/2 grains (50 to 100 mg.) early in labor to allay anxiety and apprehension. During the active phase of labor, meperidine (Demerol) hydrochloride (50 to 100

Journal

JAMA – American Medical Association

Published: Jan 30, 1954

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