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Morphine-supplemented spinal anesthesia [5], or single-shot intrathecal morphine (ITM), can rapidly induce anesthesia and provide long-term postoperative pain relief for elective and emergency CDs.
In emergency CDs, labor may be incomplete and the full release of hormones may not occur.
There was no difference in methylation between VD and emergency CDs [median emergency CD = 75.3 (56.6-79.2), p = 0.39].
Only pregnancies occurring between 8 a.m. and 2 p.m. were included to provide more time for sample processing, and included scheduled and emergency CDs as well as VDs.
Similar(56)
No significant differences between groups were observed in age, height, body weight, gestational week, and emergency CD rate.
bIncluding both planned and emergency CD.
dTrend among VD, planned CD and emergency CD.
LUMA measurements were significantly lower for total CD and planned CD, but not emergency CD when compared to VD (median VD = 74.8, median total CD = 74.4, p = 0.03; median planned CD = 74.2, p = 0.02; median emergency CD = 75.3, p = 0.39).
In further categorizing CDs, there are no differences between emergency CD and VD, but planned CDs had significantly lower methylation compared to VDs.
Emergency CD infants have higher hormone levels than those born via elective CD, but lower than those born via VD [ 9].
There was no difference in methylation between emergency CD and total CD with VD infants after adjusting for covariates (p = 0.28) (Table 2).
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