Maternal and fetal concentration of morphine after intrathecal administration during labour

Br J Anaesth. 1982 May;54(5):487-9. doi: 10.1093/bja/54.5.487.

Abstract

Twenty-five healthy women in labour received morphine 1-1.75 mg in normal saline intrathecally. The residual pain was evaluated on a scale from 0 to 5 at 10 min (score 2.5) and at 25 min (score 1.5). After delivery the maternal and fetal plasma morphine concentrations were measured by radioimmunoassay in 14 parturients. Twenty-three women of 25 had vaginal deliveries, 20 of them without forceps. The maternal and fetal plasma concentrations of morphine were 6 ng ml-1 or less. The intrathecal (but not extradural) administration of morphine is effective and could provide an interesting alternative for pain relief in labour.

MeSH terms

  • Anesthesia, Obstetrical
  • Anesthesia, Spinal
  • Female
  • Fetal Blood / analysis*
  • Humans
  • Infant, Newborn
  • Injections, Spinal
  • Labor, Obstetric*
  • Male
  • Morphine / administration & dosage
  • Morphine / blood*
  • Pregnancy

Substances

  • Morphine