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Paracervical blockFrom: Kenneth Moise, MD (kmoise@bcm.tmc.edu)Sat Nov 22 09:36:49 1997
Paracervical block fell into disuse in the US after published cases of fetal bradycardia. In addition, epidural analgesia was up and coming. I personally believe that it was a good technique. I was taught to only perform the procedure of the fetal heart rate tracing was reassuring as a higher incidence of bradycardia was reported with non-reactive tracings. In addition, I never experienced a fetal bradycardia in over 100 procedures. My technique was to inject one side and wait 15 minutes before injecting the other. This theoretically would allow for contiued uterine perfusion through the contralateral uterine artery if spasm occurred on the ipisilateral side secondary to the injection. -- Kenneth J. Moise, Jr., M.D. Professor, Department of Obstetrics and Gynecology Director, Division of Maternal-Fetal Medicine Baylor College of Medicine Houston, Texas Phone: 713-793-3539 FAX: 713-790-0108 Email: kmoise@bcm.tmc.edu
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