AI Article Synopsis
- Two challenging delivery cases are presented: one involving a breech presentation and another with twins, both in mothers experiencing significant pain without epidural analgesia.
- Maternal agitation due to pain increased the risks during delivery, making fetal extraction more difficult.
- An alternative method using spinal injection of sufentanil provided quick pain relief and sedation, leading to successful and atraumatic deliveries, highlighting its potential benefits when epidurals are not administered.
Article Abstract
We report two cases of difficult delivery, one vaginal breech presentation and one vaginal twin delivery in agitated parturients who were not given epidura analgesia. Maternal agitation was caused by pain and led to the risk of difficult fetal extraction. Epidural analgesia is not useful during the second stage of labor because of delayed onset of action of the administered drugs. Spinal injection of 10 microg of sufentanil was followed by rapid analgesia, maternal sedation and atraumatic deliveries. The usefulness of this technique is discussed for analgesia during the second stage of labor when epidural analgesia has not been performed.
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