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Epidural analgesia in labor

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EPIDURAL ANALGESIA IN LABOR
MEDICOLEGAL CONSIDERATIONS ,[object Object],[object Object]
?
Mortality crude overall mortality 1:1000 operations death during anesthesia or within 24hrs 1:13000 complications 1:750 anesthetics death due to anesthesia 1:250000
INDICATIONS FOR EPIDURAL ANALGESIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],unless contraindications exist
Steps of Epidural Injection
 
Maternal Complications of Epidurals in Obstetrics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Spinal headache ,[object Object],[object Object],[object Object],[object Object]
Methods of Treatment ,[object Object],[object Object],[object Object],[object Object]
Methods of Treatment ,[object Object],[object Object]
Dural Tap Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coagulation and Epidurals ,[object Object],[object Object],[object Object]
Coagulation Disorders in Pregnancy Physiological Changes Coagulopathies in Pre-eclampsia Iatrogenic coagulation disorders Diseases associated with coagulation abnormalities
IATROGENIC COAGULOPATHIES ,[object Object],[object Object],[object Object],[object Object]
ASPIRIN LOW-MOLECULAR- WEIGHT HEPARIN or a COMBINATION OF THEM To do or not to do EPIDURALS ???
Analgesia for Labor and Delivery in Toxemia of Pregnancy ,[object Object],[object Object]
?
Epidural Analgesia for LABOR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INDICATIONS FOR CONTINUOUS EPIDURAL ANALGESIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
STAGE OF LABOR ,[object Object],[object Object],[object Object],[object Object]
Trends of Pain Relief Method in Our Labor Ward (%) ,[object Object],[object Object],[object Object]
Analgesia Satisfaction Rate Satisfactory pain relief 91% Incomplete analgesia 4% Unilateral analgesia 3% Without any pain relief 2%
MODE OF DELIVERY ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Fetal Outcome
COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank You !!! תודה !!!

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