{'fraction_non_alphanumeric': 0.0361952861952862, 'fraction_numerical': 0.02861952861952862, 'mean_word_length': 5.257894736842105, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
[Critical evaluation of paracervical anaesthesia in obstetrics (personal observations in 8038 cases) (author's transl)].

Between 1966 and 1973 a total of 8038 paracervical blockades (PCB) were performed at the Rhine State Women's Hospital in Wuppertal. In recent years the preparation normally used has been Bupivacain (Carbostesin) with adrenalin, 5 ml being injected paracervically. This results in complete analgesia in over 90% of cases. The incidence of forceps deliveries in the PCB group (19%) was higher, while the number of cesarean sections did not increase. Typical PCB-related bradycardias were observed in 6.9% of cases. Taking other forms of bradycardia into account-mainly reduced Dip II-a change in fetal cardiac action was seen in 12% of cases altogether. In 1973 there may have been a causal connection between PCB and postpartum infant death in 2 cases. In cases of acute bradycardia following PCB, intra-uterine reanimation, e.g. with Th 1165 a (Partutisten) under circulation control is recommended. Considering perinatal risks, especially those recognizable cardiotokodynagraphically, paracervical anesthesia is judged to be a suitable method of facilitating birth.