{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:12:59Z","timestamp":1765887179908},"reference-count":7,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,1,11]],"date-time":"2011-01-11T00:00:00Z","timestamp":1294704000000},"content-version":"vor","delay-in-days":9506,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[1985,1]]},"abstract":"<jats:p><jats:bold>Abstract. <\/jats:bold> In a randomized double\u2010blind study, 1 048 women received pudendal block (PDB) at vaginal delivery, using three different local anesthetics: mepivacaine 1% plain, mepivacaine 1% with epinephrine, and bupivacaine 0.25% plain. The PDB was given transvaginally in doses of 8 ml \u00d7 2.<\/jats:p><jats:p>Mepivacaine \u2013 epinephrine was found to be more effective than the other local anesthetics. Loss of bearing down reflex after PDB was found in 31.2% of the mothers and most commonly when mepivacaine \u2013 epinephrine was used. Inhibition of labor was slightly more pronounced with mepivacaine\u2010epinephrine. The different durations of the local anesthetics did not affect the analgetic effect in clinical use. It is concluded that as the adverse effects on labor are quite common, PDB should not be given as a routine before delivery, but may be offered liberally when pain in the pudendal area is a main part of the pain of childbirth.<\/jats:p>","DOI":"10.3109\/00016348509155127","type":"journal-article","created":{"date-parts":[[2009,12,8]],"date-time":"2009-12-08T17:57:35Z","timestamp":1260295055000},"page":"269-273","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["ANALGESIA AND MATERNAL SIDE EFFECTS OF PUDENDAL BLOCK AT DELIVERY"],"prefix":"10.1111","volume":"64","author":[{"given":"Jens","family":"Langhoff\u2010Roos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunilla","family":"Lindmark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,1,11]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"3147","article-title":"Routine puden\u2010dus blockades in childbirth","volume":"69","author":"Ahlstr\u00f6m K.","year":"1972","journal-title":"L\u00e4kartidn"},{"key":"e_1_2_1_3_1","first-page":"237","article-title":"Regional anaesthesia II. Pudendal and paracervical blocks in obstetrics","volume":"4","author":"Gottschalck W.","year":"1975","journal-title":"Obstet Gynecol Annu"},{"issue":"2","key":"e_1_2_1_4_1","first-page":"44","article-title":"Pudendal block in obstetrics","volume":"23","author":"Klingstedt C.","year":"1978","journal-title":"Opuscula Medica"},{"key":"e_1_2_1_5_1","first-page":"140","article-title":"Transvaginal pudendal block in childbirth","volume":"3","author":"Vegene E M.","year":"1977","journal-title":"Tidsskr Nor Laegeforen"},{"key":"e_1_2_1_6_1","first-page":"322","article-title":"Evaluation of local anaesthetic agents for regional anaesthesia in obstetrics","volume":"47","author":"Poppers P J.","year":"1975","journal-title":"Br J Anaesth"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016347409156396"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1979.tb01424.x"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.3109%2F00016348509155127","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.3109\/00016348509155127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T12:40:41Z","timestamp":1697892041000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.3109\/00016348509155127"}},"subtitle":["A comparison of three local anesthetics"],"short-title":[],"issued":{"date-parts":[[1985,1]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1985,1]]}},"alternative-id":["10.3109\/00016348509155127"],"URL":"https:\/\/doi.org\/10.3109\/00016348509155127","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[1985,1]]},"assertion":[{"value":"2011-01-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}