ACADEMIC AND RESEARCH PEER-REVIEWED MEDICAL JOURNALISSN 1727-2378
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Successful Spontaneous Delivery in a patient with Fallot's Tetrad with Inhalational Sedoanalgesia with Sevoflurane (Case Study)

DOI:10.31550/1727-2378-2020-19-1-16-20
Bibliography link: Upryamova E.Yu., Dulaeva E.V., Bocharova I.I., Novikova S.V., Fedotova A.V., Biryukova N.V., Budykina T.S. Successful Spontaneous Delivery in a patient with Fallot's Tetrad with Inhalational Sedoanalgesia with Sevoflurane (Case Study). Doctor.Ru. 2020; 19(1): 16–20. (in Russian) DOI: 10.31550/1727-2378-2020-19-1-16-20
Successful Spontaneous Delivery in a patient with Fallot's Tetrad with Inhalational Sedoanalgesia with Sevoflurane (Case Study)
4 February 17:36

Objective: to study a case of successful pregnancy and delivery in a patient with congenital heart disorder.

Key Points. The article describes a case report of successful pregnancy and delivery in a patient with Fallot's tetrad; special attention is paid to labour pain relief with inhalational sedoanalgesia with sevoflurane. Sedoanalgesia method is described, and its impact on the maternity patient’s cardiovascular system, anaesthesia efficiency as well as on the newborn’s condition after delivery and during early neonatal adaptation is assessed.

Conclusion. This case report confirms potential use of the proposed method of inhalational sedoanalgesia with sevoflurane for efficient pain relief in maternity patients with cardiovascular pathologies during first and second stages of labour. Inhalational sedoanalgesia with sevoflurane may be a good alternative in case of any contraindications to invasive labour pain relief methods.

Contribution: Upryamova, E.Yu. — labour pain relief, material processing, article preparation; Dulaeva, E.V. — material processing, article preparation; Bocharova, I.I. — newborn follow-up, article preparation, Novikova, S.V. — article editing; Fedotova, A.V. and Biryukova, N.V. — material processing; Budykina, T.S. — lab tests, article editing.

Conflict of interest: The authors declare that they do not have any conflict of interests.

Received: 08.10.2019
Accepted: 12.11.2019


E.Yu. Upryamova (Corresponding author) — Moscow Regional Scientific Centre of Obstetrics and Gynecology; 22A Pokrovka Str., Moscow, Russian Federation 101000. E-mail: kvyalkova@gmail.com

E.V. Dulaeva — Moscow Regional Scientific Centre of Obstetrics and Gynecology; 22A Pokrovka Str., Moscow, Russian Federation 101000. eLIBRARY.RU SPIN: 9982-3758. E-mail: ev_rjazantseva@mail.ru

I.I. Bocharova — Moscow Regional Scientific Centre of Obstetrics and Gynecology; 22A Pokrovka Str., Moscow, Russian Federation 101000. eLIBRARY.RU SPIN: 4347-8596. E-mail: 567891@mail.ru

S.V. Novikova — Moscow Regional Scientific Centre of Obstetrics and Gynecology; 22A Pokrovka Str., Moscow, Russian Federation 101000. eLIBRARY.RU SPIN: 4672-8202. E-mail: sv_novikova@mail.ru

A.V. Fedotova — Moscow Regional Scientific Centre of Obstetrics and Gynecology; 22A Pokrovka Str., Moscow, Russian Federation 101000. E-mail: nikkaratist@mail.ru

N.V. Biryukova — Moscow Regional Scientific Centre of Obstetrics and Gynecology; 22A Pokrovka Str., Moscow, Russian Federation 101000. E-mail: nikkaratist@mail.ru

T.S. Budykina — Moscow Regional Scientific Centre of Obstetrics and Gynecology; 22A Pokrovka Str., Moscow, Russian Federation 101000. eLIBRARY.RU SPIN: 9952-8668. E-mail: budyt@mail.ru

Fig. 1. Assessment of the efficiency of inhalational sedoanalgesia with sevoflurane using Angle Labour Pain Questionnaire

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Fig. 2. Dynamics of BNP levels in maternity patient

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Successful Spontaneous Delivery in a patient with Fallot's Tetrad with Inhalational Sedoanalgesia with Sevoflurane (Case Study)
4 February 17:36
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