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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| Format: | Article |
| Language: | English |
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Serbian Society of Anesthesiologists and Intensivists
2024-01-01
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| Series: | Serbian Journal of Anesthesia and Intensive Therapy |
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| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2024/2217-77442407147G.pdf |
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| author | George Manjit Girijanandan Menon D. Skaria Baby Lakshmi Seshadri |
| author_facet | George Manjit Girijanandan Menon D. Skaria Baby Lakshmi Seshadri |
| author_sort | George Manjit |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-7526b17114f14481bf2950ee351c8676 |
| institution | Kabale University |
| issn | 2466-488X |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Serbian Society of Anesthesiologists and Intensivists |
| record_format | Article |
| series | Serbian Journal of Anesthesia and Intensive Therapy |
| spelling | doaj-art-7526b17114f14481bf2950ee351c86762025-02-05T13:23:36ZengSerbian Society of Anesthesiologists and IntensivistsSerbian Journal of Anesthesia and Intensive Therapy2466-488X2024-01-01467-814715710.5937/sjait2408147G2217-77442407147GEpidural labour analgesia: A review (labour epidural)George Manjit0Girijanandan Menon D.1Skaria Baby2Lakshmi Seshadri3North Cumbria Integrated Care NHS Trust, Carlisle, UKMalankara Orthodox Syrian Church Medical College, Kolenchery, Ernakulam District, Kerala State, IndiaMalankara Orthodox Syrian Church Medical College, Kolenchery, Ernakulam District, Kerala State, IndiaThirumalai Mission Hospital, Vellore, IndiaLabour 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.https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2024/2217-77442407147G.pdfpainless labourneuraxial analgesiaepidural analgesiacontinuous epidurallocal anaestheticopioid |
| spellingShingle | George Manjit Girijanandan Menon D. Skaria Baby Lakshmi Seshadri Epidural labour analgesia: A review (labour epidural) Serbian Journal of Anesthesia and Intensive Therapy painless labour neuraxial analgesia epidural analgesia continuous epidural local anaesthetic opioid |
| title | Epidural labour analgesia: A review (labour epidural) |
| title_full | Epidural labour analgesia: A review (labour epidural) |
| title_fullStr | Epidural labour analgesia: A review (labour epidural) |
| title_full_unstemmed | Epidural labour analgesia: A review (labour epidural) |
| title_short | Epidural labour analgesia: A review (labour epidural) |
| title_sort | epidural labour analgesia a review labour epidural |
| topic | painless labour neuraxial analgesia epidural analgesia continuous epidural local anaesthetic opioid |
| url | https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2024/2217-77442407147G.pdf |
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