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Analgesia of labor in women with diabetes mellitus


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The article deals with a study of duration ofphysiological labors in women with diabetes mellitus. Patients and methods: 120 women were devided into three groups according to method of analgesia. We assessed data of central haemodynamics, efficacy of analgesia, glucose level in blood, conditions offetus and newborn. Results: We found that epidural analgesia with bupivacaine hydrochloride was an optimal method of labor analgesia in women with diabetes mellitus. This method provided a stabilization of glucose level in blood, normalization of data of central haemodynamics and allowed to avoid anomalies of labor. Conclusions: Analgesia with promedol and paracetamol is a preferable method in case ofpresence of epidural analgesia contraindications.

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