Epidural labour analgesia: A review (labour epidural)
Labour pain is one of the most severe pains with significant physiological and psychological consequences. Timely labour analgesia has considerable foeto-maternal benefits. There are many pharmacological and non-pharmacological techniques for ensuring labour analgesia. In the group of pharmacologica...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Serbian Society of Anesthesiologists and Intensivists
2024-01-01
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| Series: | Serbian Journal of Anesthesia and Intensive Therapy |
| Subjects: | |
| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2024/2217-77442407147G.pdf |
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| Summary: | Labour pain is one of the most severe pains with significant physiological and psychological consequences. Timely labour analgesia has considerable foeto-maternal benefits. There are many pharmacological and non-pharmacological techniques for ensuring labour analgesia. In the group of pharmacological methods for pain relief, neuraxial techniques have become more popular than non-neuraxial. Among the different regional techniques for labour analgesia, continuous labour epidural remains the "gold standard". Combination of ultra-low concentration local anaesthetic and low dose of lipophilic opioid has emerged as the "ideal" prescription for neuraxial labour analgesia. Continuous epidural infusion technique with a background programmed intermittent epidural bolus in addition to patient controlled epidural analgesia to manage breakthrough pain ensures effective labour analgesia with minimal side effects to mother and foetus. Even though refinements of the technique and newer advances have resulted in better outcomes, there are many persisting myths and controversies surrounding labour epidural technique. |
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| ISSN: | 2466-488X |