Effectiveness of an online biopsychosocial cognitive-behavioural preventive intervention to improve wellbeing and mental health during pregnancy. Randomized controlled trial (BienGestar). [PDF]
BMC Pregnancy ChildbirthHernández-Martínez C +5 more
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Current Perspectives on Remifentanil-PCA for Labor Analgesia: A Narrative Review. [PDF]
Medicina (Kaunas)Vovk Racman P +2 more
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Effects of epidural labor analgesia on intrapartum fever and obstetric outcomes in women with gestational diabetes mellitus: A retrospective cohort study. [PDF]
Medicine (Baltimore)Lin X +5 more
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Evaluating the efficacy of lower-level transversus abdominis plane block for postoperative analgesia following lower-uterine-segment caesarean delivery: study protocol for an observer-blinded, randomised controlled trial at a tertiary hospital in China. [PDF]
BMJ OpenZhang N +6 more
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No effect of tetracosactide for treatment of postdural puncture headaches in parturient women: a double-blind randomised controlled clinical trial. [PDF]
Br J AnaesthDziadzko M +8 more
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Several analgesic options are available for patients during labor. Selection of the appropriate technique must be individualized. Education and preparation begins during prenatal care. If medications are to be used, the risks and benefits to the mother and infant must be considered.
M B, Stephens, L A, Fenton, S A, Fields
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Obstetric analgesia – update 2016
Journal of Perinatal Medicine, 2017AbstractNeuraxial labor analgesia can be initiated via combined spinal-epidural (CSE) or stand-alone epidural. Pros and cons of these techniques are outlined in this review. In recent years computer-integrated patient-controlled epidural analgesia (CI-PCEA) and programed intermittent epidural boluses (PIEB) have been developed, adding to continuous ...
Heesen, M, Klimek, Markus
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There has recently been a growing interest in developing and modulating the techniques of neuraxial analgesia to meet the changing individual needs of parturients for pain relief during the course of labour and delivery.Neuraxial analgesia is now very safe.
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All drugs used in obstetric analgesia are more or less lipophilic, their site of action is in the central nervous system, and they have good membrane penetrability in the fetomaternal unit. Thus the dose and method of administration as well as the duration of treatment are important clinical determinants of drug effects in the fetus and newborn. In the
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