Re: Obstetrical paracervical block

From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)
Sat Nov 22 02:45:23 1997


In message <199711220602.AAA29611@talk.obgyn.net>, "D.Crowther" <crowther@wctc.net> writes >I am a family physician practicing obstetrics and I have recently
>immigrated to the USA from Canada. I am currently being exposed to the
>use of paracervical blocks during labour, a technique I had not
>previously utilized. I would appreciate comments on the consensus of
>opinion in regards to this form of anaesthesia. I thankyou in advance.
>

This technique was abandoned in UK some time ago. I can't quote references but recall it was associated with fetal bradycardias. I also seem to remember that there were reports of inadvertent fetal scalp injections and worse! Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])





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