RT Journal Article
SR Electronic
T1 Intrathecal Morphine As Analgesia For Labor Pain
JF The Journal of the American Board of Family
                Practice
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 245
OP 250
DO 10.3122/jabfm.1.4.245
VO 1
IS 4
A1 Rick D. Edwards
A1 Nancy K. Hansel
A1 Harold T. Pruessner
A1 Bruce Barton
YR 1988
UL http://www.jabfm.org/content/1/4/245.abstract
AB In this descriptive study of intrathecal morphine sulfate used for pain control during labor, 49 parturients received morphine intrathecally, 78 were administered butorphanol tartrate (Stadol™), and 34 received no analgesia. Significant differences for the intrathecal group induded: (1) decreased requirement of nitrous oxide for delivery, (2) lower number of doses of postpartum intramuscular pain medication, and (3) increased use of forceps. The intrathecal morphine group showed no prolongation of labor and no major side effects in mothers or newborns. The results suggest that the use of lower levels of intrathecal morphine sulfate (0.5 mg) is as safe and effective as the more traditional intravenous analgesia for labor.