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This review aims to present the available data regarding the effectiveness of the different methods of relieving pain during labor other than epidural. The data presented are mainly based on recent level I evidence regarding pharmacologic and nonpharmacologic methods for pain relief during labor.
21 mar 2023 · These results suggest that adequate fluid infusions and early maternal effort after full opening of the uterus are important in prolonged labor, but the effectiveness of uterine contractions during painless labor remains controversial. Keywords: management, painless deliveries, parturition.
1 sie 2020 · Depending on a woman's particular preferences, the World Health Organization (WHO) recommends epidural analgesia, systemic opioids, relaxation techniques, and manual techniques (such as massage) as pain relief options for women in labor [3].
16 kwi 2022 · In this review, we describe variations of modern labor epidural analgesia, conduct an in-depth review of current literature on its use, and explore the most up-to-date evidence on its implications for the progression and outcomes of labor, including the pertinent maternal and fetal side effects.
18 cze 2024 · In a select population that prefers to avoid pharmacological interventions, they can still provide some pain alleviation to facilitate a more comfortable delivery. Labor pain follows distinct pathways unique to each stage, allowing for adequate and efficient regional anesthesia.
12 mar 2022 · For certain maternal conditions that may be decompensated by labor and delivery, such as pre-eclampsia or cardiac disease, labor epidural is indicated. In cases where epidural is contraindicated (such as severe thrombocytopenia, coagulopathy, or sepsis) other analgesic regimes (e.g. patient-controlled remifentanil) may be available.
Every patient admitted to labor and delivery, as well as antepartum patients whose delivery is anticipated, should be met by an anesthesiologist after initial evaluation by the primary obstetrical provider.
