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

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]

Epidural analgesia in labor

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Epidural analgesia in labor