Comparative assessment of labor anesthesia techniques in patients with diabetes mellitus

Abstract

Course of physiological labors of 120 patients with diabetes mellitus is researched. Patients were randomized into three groups depending on the anesthetic method. During labors central hemodynamic parameters, efficacy of analgesia, serum glucose level, patient and newborn status were assessed. It was shown, that the optimal method during physiological labor in patients with diabetes mellitus is naropin epidural analgesia, which stabilize serum glucose level, central hemodynamic parameters and relief pathological uterine contractions. If contraindications for epidural anesthesia exist, then perfalgan analgesia is the method of choice.

Keywords

epidural analgesia / diabetes mellitus / spontaneous labor

References

[1] Апресян С. В. Беременность и роды при экстрагенитальных заболеваниях. М.: ГАОЭТАР-Медиа, 2009. С. 134-139.

[2] Бабаев В. А., Мазурская Н. М., Петрухин В. А., Хапий Н. Х. Оптимизация анестезиологического обеспечения родоразрешения пациенток с сахарным диабетом // Российский вестник акушера-гинеколога. 2005. №3. С. 41-56.

[3] Дедов И. И., Мельниченко Г, А. Эндокринология: Национальное руководство. М: ГЭОТАР-Медиа, 2008. С. 479-487.

[4] Лака Г. Л., Захарова Т. Г. Сахарный диабет и беременность. М.: Феникс, 2004. С. 192.

[5] Anim-Somuah M., Smyth R., Howell C. Epidural versus nonepidural or no analgesia in labor // Cochrane Database Syst. Rev. 2005 0ct.19;(4):CD000331.

[6] Shnider S. M., Levinson G. Anesthesia for obstetrics. Willams & Wilkins, 2005, 744p.

RIGHTS & PERMISSIONS

Eco-Vector