{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T20:01:31Z","timestamp":1763323291569,"version":"3.45.0"},"reference-count":0,"publisher":"BMJ","issue":"5695","license":[{"start":{"date-parts":[[1970,2,28]],"date-time":"1970-02-28T00:00:00Z","timestamp":5011200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J"],"published-print":{"date-parts":[[1970,2,28]]},"abstract":"<jats:p>An assessment of paracervical nerve block anaesthesia was made in 118 women during labour using 0\u00b75% bupivacaine with 1:200,000 parts of adrenaline added. The 82 multiparae were each given a single block and the 36 primigravidae a continuous block to try to provide the sole means of analgesia throughout the first stage of labour.<\/jats:p>\n                  <jats:p>Only 48% of the primigravidae required no other form of analgesia, as against 72% of the multiparae.<\/jats:p>\n                  <jats:p>Complications included a 17% incidence of maternal haemorrhage during insertion of the continuous needle, an overall fetal bradycardia rate of 11%, and two perinatal deaths following single paracervical block. It is concluded that the use of continuous paracervical block should be discontinued, and that amide-type local anaesthetic agents should not be used for single paracervical block.<\/jats:p>","DOI":"10.1136\/bmj.1.5695.526","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T07:02:10Z","timestamp":1238655730000},"page":"526-529","source":"Crossref","is-referenced-by-count":17,"title":["Assessment of Paracervical Nerve Block Anaesthesia during Labour"],"prefix":"10.1136","volume":"1","author":[{"given":"P. J.","family":"Murphy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. D.","family":"Wright","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. B.","family":"Fitzgerald","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1970,2,28]]},"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.1.5695.526","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.1.5695.526","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T19:57:47Z","timestamp":1763323067000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.1.5695.526"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1970,2,28]]},"references-count":0,"journal-issue":{"issue":"5695","published-online":{"date-parts":[[1970,2,28]]},"published-print":{"date-parts":[[1970,2,28]]}},"alternative-id":["10.1136\/bmj.1.5695.526"],"URL":"https:\/\/doi.org\/10.1136\/bmj.1.5695.526","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"type":"print","value":"0007-1447"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1970,2,28]]}}}