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Pain pp 997-1001 | Cite as

Mechanisms, Characteristic, Benefits, Consequences and Management of Labor Pain

  • Petrus Paulus Steyn
  • Diana Feinstein
  • Ihab KamelEmail author
Chapter

Abstract

Labor pain is one of most stressful experiences that can lead to serious psychological and physiological consequences for the mother and the fetus. Proper management of labor pain is pivotal to a safe and satisfactory labor and delivery experience. Analgesic modalities used for the management of labor pain include neuraxial techniques, peripheral nerve blocks, parenteral pain medications, and inhalational agents.

Keywords

Labor pain Labor analgesia Neuraxial analgesia Peripheral nerve blocks Parenteral pain medication Opioids Inhalation agents 

References

  1. 1.
    Leighton BL, Halpern SH. The effects of epidural analgesia on labor, maternal, and neonatal outcomes: a systematic review. Am J Obstet Gynecol. 2002;186(5 Suppl Nature):S69–77.PubMedGoogle Scholar
  2. 2.
    Mardirosoff C, Dumont L, Boulvain M, et al. Fetal Bradycardia due to intrathecal opioids for labor analgesia, a systemic review. BJOG. 2002;109(3):274–81.CrossRefGoogle Scholar
  3. 3.
    Rosen MA, et al. Paracervical block for labor analgesia: a brief historic review. Am J Obstet Gynecol. 2002;186:S127–30.CrossRefGoogle Scholar
  4. 4.
    Junttila EK, Karjalainen PK, Ohtonen PP, et al. A comparison of paracervical block with single-shot spinal for labor analgesia in multiparous women: a randomized controlled trial. Int J Obstet Anesth. 2009;18(1):15–21.CrossRefGoogle Scholar
  5. 5.
    Romagnoli A, et al. Ceiling effect for respiratory depression by Nalbuphine. Clin Pharmacol Ther. 1980;27:478–85.CrossRefGoogle Scholar
  6. 6.
    Liew Z, Ritz B, Rebordosa C, Lee PC, et al. Acetaminophen use during pregnancy, behavioral problems, and hyperkinetic disorders. JAMA Pediatr. 2014;168(4):313–20.CrossRefGoogle Scholar
  7. 7.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Petrus Paulus Steyn
    • 1
  • Diana Feinstein
    • 2
  • Ihab Kamel
    • 2
    Email author
  1. 1.TUH Department of AnesthesiologyPhiladelphiaUSA
  2. 2.Department of Anesthesiology, Lewis Katz School of Medicine, Temple UniversityPhiladelphiaUSA

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