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Anaesthesia of pregnant women
, 2
Affiliations- Department of Anaesthesiology, University Clinical Center, Medical University of Silesia in Katowice, Poland
- Clinic of Gynecology, Obstetrics and Gynecological Oncology, Department of Heath Science in Katowice, Medical University of Silesia, Katowice, Poland
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Abstract
Labor pain is not only an unpleasant mental experience, but one of the most important factors that may negatively affect the course of labor and the well-being of the fetus. Over the years, many techniques for relieving labor pain have been developed, ranging from non-pharmacological (acupuncture, TENS, hypnosis...), through opioids and aeriform anesthetics, to regional analgesia techniques. Numerous studies and meta-analyzes prove that central blockades are the gold standard of labor analgesia and debunk the myths that these blockages are negatively limited to the course of labor. In the light of recent studies, the claim that epidural analgesia increases the risk of termination by caesarean section should be rejected. It has also been proven that central blockades do not lower the child’s APGAR score. Feeling, an indication to use a central block during labor, should be a subjective intolerance to pain and the wishes of the mother in labor. The review presents the directions of development and the current state of knowledge of modern medicine regarding various anesthesia techniques, their safety for the mother, fetus and newborn, as well as practical tips to increase the satisfaction of the mother in labor.
Abstract
Labor pain is not only an unpleasant mental experience, but one of the most important factors that may negatively affect the course of labor and the well-being of the fetus. Over the years, many techniques for relieving labor pain have been developed, ranging from non-pharmacological (acupuncture, TENS, hypnosis...), through opioids and aeriform anesthetics, to regional analgesia techniques. Numerous studies and meta-analyzes prove that central blockades are the gold standard of labor analgesia and debunk the myths that these blockages are negatively limited to the course of labor. In the light of recent studies, the claim that epidural analgesia increases the risk of termination by caesarean section should be rejected. It has also been proven that central blockades do not lower the child’s APGAR score. Feeling, an indication to use a central block during labor, should be a subjective intolerance to pain and the wishes of the mother in labor. The review presents the directions of development and the current state of knowledge of modern medicine regarding various anesthesia techniques, their safety for the mother, fetus and newborn, as well as practical tips to increase the satisfaction of the mother in labor.
Keywords
partus; vaginal birth; anaesthesia; epidural analgesia
About this articleTitle
Anaesthesia of pregnant women
Journal
Issue
Article type
Review paper
Pages
735-740
Published online
2021-09-21
Page views
7361
Article views/downloads
1541
DOI
Pubmed
Bibliographic record
Ginekol Pol 2021;92(10):735-740.
Keywords
partus
vaginal birth
anaesthesia
epidural analgesia
Authors
Zaneta Jastrzebska-Stojko
Marcin Sadlocha
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