Abstract
(Int J Obstet Anesth. 2017;30:16–22) Previous small-scale studies have investigated the use of neuraxial hydromorphone in place of morphine for pain relief following cesarean delivery with some success. Generally, the results suggested similar efficacy. However, no large studies comparing neuraxial hydromorphone to morphine for postcesarean analgesia have been conducted. Because of a shortage of preservative-free morphine in 2012, the University of Rochester Medical Center switched to using neuraxial hydromorphone from March to November of 2012 for pain relief after cesarean delivery. This retrospective study was therefore undertaken to compare the effectiveness and side effects of neuraxial hydromorphone to morphine.
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