Re: Obstetrical paracervical block

From: rbraun@iupui.edu
Sat Nov 22 06:53:11 1997


Also, the fetal scalp injections were shown to not cause this kind of problem. Hon injected lidocaine int the scalps and brains of anencephalics in labor and was unable to bring about any change in the heart rate pattern.

R. Daniel Braun, MD FACOG

On Sat, 22 Nov 1997, Malcolm Griffiths wrote:

> 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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