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Epidural analgesia in labor
1.
EPIDURAL ANALGESIA
IN LABOR
2.
3.
?
4.
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
5.
6.
Steps of Epidural
Injection
7.
8.
9.
10.
11.
12.
13.
14.
Coagulation Disorders in
Pregnancy Physiological Changes Coagulopathies in Pre-eclampsia Iatrogenic coagulation disorders Diseases associated with coagulation abnormalities
15.
16.
ASPIRIN LOW-MOLECULAR-
WEIGHT HEPARIN or a COMBINATION OF THEM To do or not to do EPIDURALS ???
17.
18.
?
19.
20.
21.
22.
23.
Analgesia Satisfaction Rate
Satisfactory pain relief 91% Incomplete analgesia 4% Unilateral analgesia 3% Without any pain relief 2%
24.
25.
26.
27.
Thank You !!!
תודה !!!