From a different perspective, we have used a PCA
(Fentanyl) in labour when the mother has requested more painrelief than IM
Morphine and an epidural is contraindicated, eg this week- fetal death in utero
at 26 weeks, mother septic with bordeline then deteriorating coags. Labour
induced with Cervagem over 36 hrs then further 24 hrs of Syntocinon. Mother
could not cope with pain and circumstances any longer. This situation is
infrequent. I have never seen them used with a viable baby.
Monica
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