New PDF release: Cesarean Delivery

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Advanced maternal age and adverse perinatal outcome. Obstet Gynecol 2004;104:727-33. 4, (October 2004), pp. 727-733, ISSN 0029-7844. , & Liston, R. (2005). The perinatal effects of delayed childbearing. 6, (June 2005), pp. 1410-1418, ISSN 0029-7844. , & Tooley, WH. (1979). Tracheal fluid in fetal lambs: spontaneous decrease prior to birth. 5, (November 1979), pp. 985-989, ISSN 1522-1601. , & Gabbe, SG. National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network.

Annual direct cost of urinary incontinence. 3, (September 2001), pp. 398-406, ISSN 0029-7844. , & Sauve, R. (2008). The risk of unexplained antepartum stillbirth in second pregnancies following caesarean section in the first pregnancy. 6, (May 2008), pp. 726–731, ISSN 0528-1471. , & Maschiach, S. (1998). Increased maternal mortality in cesarean delivery as compared to vaginal delivery? 178, (1998), pp. S78, ISSN 1097-6868. , & Redman, CWG. (1987). Risk of unexplained stillbirth at different gestational ages.

Recently, pencil point needles have been made available (Hart & Whitacre, 1951; Sprotte et al, 1987). Regardless of the anesthetic agent (drug) used, the desired effect is to block the transmission of afferent nerve signals from peripheral nociceptors. Sensory signals from the site are blocked, thereby eliminating pain. The degree of neuronal blockade depends on the amount and concentration of local anesthetic used and the properties of the axon. Thin unmylenated C-fibres associated with pain are blocked first, while thick, heavily mylenated A-alpha motor neurons are blocked last.

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