臨床婦人科産科71巻2号

2017年03月発行

今月の臨床 産科麻酔パーフェクトガイド

無痛分娩

─無痛分娩の麻酔開始時期と麻酔法の選択①─安全性と快適性を意図する麻酔

著者： 中畑克俊¹² 角千里³ 玉井幹³

所属機関： ¹関西医科大学麻酔科学講座 ²関西医科大学附属病院総合周産期母子医療センター ³関西医科大学附属病院麻酔科

ページ範囲：P.190 - P.195

文献概要

●無痛分娩の開始時期は帝王切開術施行率に影響しないので，産婦の要望に応じて麻酔を開始すべきである．

●娩出直前に麻酔を開始することは，硬膜外穿刺に伴う合併症や胎児徐脈の危険性から好ましいとはいえない．

●快適で安全性の高い無痛分娩を提供するために，各施設の事情に合った無痛分娩を選択すべきである．

参考文献

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