The impact of withholding nitrous oxide in labour during the COVID‐19 pandemic on maternal and neonatal outcomes

Nitrous oxide is commonly used in Australia for labour analgesia. Its use in labour is potentially associated with aerosol generation. During the first wave of the COVID‐19 pandemic of 2020, nitrous oxide was suspended on many birthing units to reduce the risk of transmission. We aimed to determine...

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Autores principales: Froessler, Bernd, Malek, Michaela, Jila, Mathonsi, Parange, Anupam, Kelly, Thu‐Lan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Short Communications
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10083960/
https://www.ncbi.nlm.nih.gov/pubmed/35781873
http://dx.doi.org/10.1111/ajo.13577
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author Froessler, Bernd
Malek, Michaela
Jila, Mathonsi
Parange, Anupam
Kelly, Thu‐Lan
author_facet Froessler, Bernd
Malek, Michaela
Jila, Mathonsi
Parange, Anupam
Kelly, Thu‐Lan
author_sort Froessler, Bernd
collection PubMed
description Nitrous oxide is commonly used in Australia for labour analgesia. Its use in labour is potentially associated with aerosol generation. During the first wave of the COVID‐19 pandemic of 2020, nitrous oxide was suspended on many birthing units to reduce the risk of transmission. We aimed to determine the impact of withholding nitrous oxide for labour analgesia, during the COVID‐19 pandemic, on epidural rates, opioid analgesia use, and maternal and neonatal outcomes. Withholding nitrous oxide for labour analgesia did not alter epidural rates but did significantly increase opioid analgesia use. Caesarean section rates, post‐partum blood loss and neonatal APGAR scores did not change.
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spelling pubmed-100839602023-04-11 The impact of withholding nitrous oxide in labour during the COVID‐19 pandemic on maternal and neonatal outcomes Froessler, Bernd Malek, Michaela Jila, Mathonsi Parange, Anupam Kelly, Thu‐Lan Aust N Z J Obstet Gynaecol Short Communications Nitrous oxide is commonly used in Australia for labour analgesia. Its use in labour is potentially associated with aerosol generation. During the first wave of the COVID‐19 pandemic of 2020, nitrous oxide was suspended on many birthing units to reduce the risk of transmission. We aimed to determine the impact of withholding nitrous oxide for labour analgesia, during the COVID‐19 pandemic, on epidural rates, opioid analgesia use, and maternal and neonatal outcomes. Withholding nitrous oxide for labour analgesia did not alter epidural rates but did significantly increase opioid analgesia use. Caesarean section rates, post‐partum blood loss and neonatal APGAR scores did not change. John Wiley and Sons Inc. 2022-07-04 2022-12 /pmc/articles/PMC10083960/ /pubmed/35781873 http://dx.doi.org/10.1111/ajo.13577 Text en © 2022 The Authors. Australian and New Zealand Journal of Obstetrics and Gynaecology published by John Wiley & Sons Australia, Ltd on behalf of Royal Australian and New Zealand College of Obstetricians and Gynaecologists. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Short Communications
Froessler, Bernd
Malek, Michaela
Jila, Mathonsi
Parange, Anupam
Kelly, Thu‐Lan
The impact of withholding nitrous oxide in labour during the COVID‐19 pandemic on maternal and neonatal outcomes
title The impact of withholding nitrous oxide in labour during the COVID‐19 pandemic on maternal and neonatal outcomes
title_full The impact of withholding nitrous oxide in labour during the COVID‐19 pandemic on maternal and neonatal outcomes
title_fullStr The impact of withholding nitrous oxide in labour during the COVID‐19 pandemic on maternal and neonatal outcomes
title_full_unstemmed The impact of withholding nitrous oxide in labour during the COVID‐19 pandemic on maternal and neonatal outcomes
title_short The impact of withholding nitrous oxide in labour during the COVID‐19 pandemic on maternal and neonatal outcomes
title_sort impact of withholding nitrous oxide in labour during the covid‐19 pandemic on maternal and neonatal outcomes
topic Short Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10083960/
https://www.ncbi.nlm.nih.gov/pubmed/35781873
http://dx.doi.org/10.1111/ajo.13577
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