Table 3.
CSE, analgesia and side effects for all enrolled women (treatment-received, n = 158)
Variable | Group A (N = 110) | Group G (N = 48) | p-Value |
---|---|---|---|
Rejected (>8 cm within 1 h of CSE) | 8 | 9 | 0.048 |
VRS at CSE placement (0–10 cm) | 9 [8,10] | 9 [8,10] | 0.15 |
Pruritus (0–3; 4 point scale) | 1 [0,1] | 0 [0,1] | >0.20 |
Nalbuphine (given after 60 min for pruritus) (n) | 4 | 1 | >0.20 |
Ephedrine use (n) | 6 | 4 | >0.20 |
Fetal bradycardia with uterine hypertonus (n) | 3* | 1** | >0.20 |
Data are presented as count and median [interquartiles].
Group A: 304A homozygotes.
Group G: 304A/G heterozygotes (n = 40) and 304G homozygotes (n = 8).
VRS: visual rating scale for pain intensity (0 = no pain, 10 = worst pain imaginable).
Pruritus scale: 0 = none; 1 = mild; 2 = moderate; 3 = severe requiring nalbuphine.
Fetal bradycardia (FHR <100 bpm for more than 90 s) with uterine hypertonus (2 contractions lasting ⩾ 60 s) occurring within 15 min after spinal injection
doses: 22, 27 and 30 μg in Group A;
dose 14.5 μg in Group G; all 4 cases in spontaneous labor.