Pain management during labor and vaginal birth

JA Nanji, B Carvalho - Best Practice & Research Clinical Obstetrics & …, 2020 - Elsevier
Neuraxial analgesia provides excellent pain relief in labor. Optimizing initiation and
maintenance of neuraxial labor analgesia requires different strategies. Combined spinal …

Pain management in labor

A Smith, E LaFlamme, C Komanecky - American family physician, 2021 - aafp.org
A patient's sense of empowerment and control is most predictive of maternal satisfaction with
childbirth. Analgesia during labor greatly affects this experience. Individual patient priorities …

Effect of dural puncture epidural technique combined with programmed intermittent epidural bolus on labor analgesia onset and maintenance: a randomized …

Y Song, W Du, S Zhou, Y Zhou, Y Yu, Z Xu… - Anesthesia & …, 2021 - journals.lww.com
BACKGROUND: The dural puncture epidural (DPE) technique is associated with faster
onset than the conventional epidural (EP) technique for labor analgesia. The programmed …

[HTML][HTML] Modern labor epidural analgesia: implications for labor outcomes and maternal-fetal health

EC Callahan, W Lee, P Aleshi, RB George - American Journal of Obstetrics …, 2023 - Elsevier
Epidural analgesia is an important means of pain control during labor throughout the world.
Over its historic development, it has been implicated in several undesirable outcomes …

Neuraxial techniques of labour analgesia

S Gupta, S Partani - Indian Journal of Anaesthesia, 2018 - journals.lww.com
In recent years, many neuraxial techniques have been introduced to initiate and maintain
labour analgesia, with low-dose mixtures of local anaesthetics and opioids, which have …

Clinical evaluation of labor: an evidence-and experience-based approach

WR Cohen, EA Friedman - Journal of Perinatal Medicine, 2021 - degruyter.com
During labor mother and fetus are evaluated at intervals to assess their well-being and
determine how the labor is progressing. These assessments require skillful physical …

Childbirth pain and post-partum depression: does labor epidural analgesia decrease this risk?

DC Parise, C Gilman, MA Petrilli… - Journal of Pain …, 2021 - Taylor & Francis
Post-partum depression (PPD) is a common complication of pregnancy worldwide with a
prevalence as high as 15% in some countries. Pain has been identified as a risk factor for …

Concerned topics of epidural labor analgesia: labor elongation and maternal pyrexia: a systematic review

CJ Li, F Xia, SQ Xu, XF Shen - Chinese Medical Journal, 2020 - journals.lww.com
Objective: Labor is a complex process and labor pain presents challenges for analgesia.
Epidural analgesia (EA) has a well-known analgesic effect and is commonly used during …

[HTML][HTML] Epidural analgesia during labor and its optimal initiation time-points: A real-world study on 400 Chinese nulliparas

Y Zha, X Gong, C Yang, D Deng, L Feng, A Luo, L Wan… - Medicine, 2021 - journals.lww.com
Recent research has suggested that 6 cm of cervical dilation should be the threshold for the
active labor phase, and it has confirmed that epidural analgesia (EA) is a safe method of …

Neuraxial labor analgesia: maintenance techniques

EC Callahan, S Lim, RB George - Best Practice & Research Clinical …, 2022 - Elsevier
Since the advent of neuraxial analgesia for labor, approaches to maintaining intrapartum
pain relief have seen significant advancement. Through pharmacologic innovations and …