Table 2 Labor analgesia protocol
From: Vaginal delivery in a patient with severe aortic stenosis under epidural analgesia, a case report
Test dose after epidural catheter positioning | Lidocaine 1%, 4 mL | |
|---|---|---|
First bolus | Latent phase of labor | Fentanyl 30–50 mcg (or sufentanil 5–7.5 mcg). Total volume 10 mL |
Early labor stage | Levobupivacaine 0.0625–0.1% (or ropivacaine 0.1–0.15%) + fentanyl 30 mcg (or sufentanil 5–7.5 mcg). Total volume 15–20 mL in 10 min | |
Active labor or labor of a multipara | Levobupivacaine 0.1–0.125% (or ropivacaine 0.15–0.2%). Total volume 15–20 mL in 10 min | |
Following doses | Levobupivacaine 0.1% (or ropivacaine 0.1–0.15%) + fentanyl 1 mcg/mL (or sufentanil 0.25 mcg/mL). Total volume 15–20 mL | |
During delivery, before episiotomy, before operative vaginal delivery | Lidocaine 1%, 10 mL | |