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Subject:
From:
"Kermaline J. Cotterman" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 29 Dec 2003 09:49:14 -0500
Content-Type:
text/plain
Parts/Attachments:
text/plain (37 lines)
Julie wrote:
<A while back on one of these boards, I read about a study that showed
that the infusion of a bag of IV fluid before an anesthesiologist would
administer an epidural was shown to be unnecessary in keeping a mother's
blood pressure at a normal level.  Of course, I forgot to print it and
can't find it now.  Can anyone point me to the study?>

Perhaps this is the reference:
Hawthorne L, Slaymaker J, Bamber J, Dresner M, Effect of fluid preload on
maternal haemodynamics for low-dose epidural analgesia in labour,
International Journal of Obstetric Anesthesia (2001) 10, 312-315.
A nurse anesthetist friend of mine noted that it was a relatively small
study, and the individual anesthetist/anesthesiologist must individualize
for each particular patient and her BP situation. But the article is
interesting, all the same.
On a like note, this article below mentions IV's in regard to spinals:
Park GE, Hauch MA, Curlin F, Datta S, Bader AM The Effects of
VaryingVolumes of Crystalloid Administration Before Cesarean Delivery on
Maternal Hemodynamics and Colloid Osmotic Pressure, Anesth Analg
1996;83:299-303.
Jean
************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA

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