Objectives-To assess in a prospective randomised study the association between motor block resulting from high and low dose epidural infusions of bupivacaine in labour and the incidence of long term backache after childbirth, and to compare the incidence of backache in women not receiving epidural analgesia.
Design-Women requesting epidural analgesia in labour between October 1991 and March 1994 were randomised to receive infusions of either bupivacaine alone or low dose bupivacaine with opioid.
Data were collected during labour and the immediate postpartum period from these women and from women recruited at random over the same time from those who had laboured without epidural analgesia.
A postal questionnaire about symptoms was sent three months after childbirth to all women.
Further data were collected one year after childbirth from those who had reported new backache at three months.
Subjects-599 women were recruited, of whom 450 (75%) replied to a follow up questionnaire.
152 women (33.8% of responders) reported backache lasting three months after delivery and, of these, 33 (7.3%) had not previously suffered with backache.
There were no significant differences between the treatment groups in the incidence of postnatal backache overall or of new backache or any symptoms after childbirth. (...)
Mots-clés Pascal : Dorsalgie, Postpartum, Bupivacaïne, Anesthésique, Opiacés, Anesthésie, Accouchement, Epidémiologie, Long terme, Homme, Femelle, Angleterre, Grande Bretagne, Royaume Uni, Europe, Etude comparative, Rachis dorsal, Anilide, Enquête par correspondance, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie, Postpartum pathologie, Anesthésie péridurale
Mots-clés Pascal anglais : Dorsalgia, Puerperium, Anesthetic, Opiates, Anesthesia, Delivery, Epidemiology, Long term, Human, Female, England, Great Britain, United Kingdom, Europe, Comparative study, Dorsal spine, Anilide, Mail inquiry, Diseases of the osteoarticular system, Spine disease, Rachialgia, Puerperal disorders, Epidural anesthesia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0317329
Code Inist : 002B20G03. Création : 10/04/1997.