Epidural morphine bupivacaine combination for the control of autonomic hyperreflexia during labor

David Pauzner, Igal Wolman*, David Niv, Menachem P. David

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The improvement in rehabilitation of young women with spinal cord lesions, combined with the fact that libido, fertility and child bearing remain intact, enables more such patients to conceive. The obstetric team is therefore bound to meet with such patients. Among the various complications of this condition during pregnancy is an acute life-threatening syndrome called autonomic hyperreflexia (AH), caused by an uncontrolled massive sympathetic discharge, which occurs in response to stimuli that reach the spinal cord below the lesion. Most authors agree that the best method of controlling AH during labor is by an epidural block which impends stimuli from reaching the spinal cord and thus provoking AH. Most authors could not completely abolish AH episodes using different medication epidurally. Herein we present a successful delivery using a combination of morphine bupivacaine epidurally.

Original languageEnglish
Pages (from-to)215-216
Number of pages2
JournalGynecologic and Obstetric Investigation
Volume37
Issue number3
DOIs
StatePublished - 1994
Externally publishedYes

Keywords

  • Autonomic hyperreflexia
  • Delivery
  • Epidural

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