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Pain Management and Palliative Care pp 235–244Cite as

Pain Management During Pregnancy and Breast-Feeding

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Abstract

This chapter reviews the common causes of pain during gestation and medications that are appropriate for consumption during pregnancy as well as more conservative alternatives for pain management.

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Abbreviations

CNS:

Central nervous system

FDA:

Food and Drug Administration

GABA:

Gamma-aminobutyric acid

LBP:

Low back pain

MOA:

Mechanism of action

NERI:

Norepinephrine reuptake inhibitor

NMDA:

N-methyl-d-aspartate

SNRIs:

Serotonin-norepinephrine reuptake inhibitors

TCA:

Tricyclic antidepressant

TCAs:

Tricyclic antidepressants

TENS:

Transcutaneous electrical nerve stimulation

TERIS:

Teratogen Information System

References

  1. Morgan IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine. 2005;30:983–91.

    Article  Google Scholar 

  2. Dowswell T, Bedwell C, Lavender T, Neilson JP. Transcutaneous electrical nerve stimulation (TENS) for pain relief in labour. Cochrane Database Syst Rev 2009: CD007214. doi: 10.1002/14651858.CD007214.pub2.

  3. Sadr S, et al. The treatment experience of patients with low back pain during pregnancy and their chiropractors: a qualitative study. Chiropr Man Therap. 2012;20(1):32.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Ho S, Yu W, et al. Effectiveness of maternity support belts in reducing lower back pain during pregnancy: a review. J Clin Nurs. 2009;18:1523–32.

    Article  PubMed  Google Scholar 

  5. Raj P. Pain medicine: a comprehensive review. 2nd ed. Chapter 8, p. 49–57.

    Google Scholar 

  6. Smith M, Marcus P, Wurtz L. Orthopedic issues in pregnancy. Obstet Gynecol Surv. 2008;63(2):103–11.

    Article  CAS  PubMed  Google Scholar 

  7. Keskin EA, Onur O, Keskin HL, et al. Transcutaneous electrical nerve stimulation improves low back pain during pregnancy. Gynecol Obstet Invest. 2012;74:76–83.

    Article  CAS  PubMed  Google Scholar 

  8. Richie J. Orthopedic considerations during pregnancy. Clin Obstet Gynecol. 2003;46(2):456–66.

    Article  Google Scholar 

  9. Lee S, Jeong C, Lee H, Yoon M, Kim W. Ultrasound guided obturator nerve block: a single interfascial injection technique. J Anesth. 2011;25:923–6.

    Article  PubMed  Google Scholar 

  10. Taha A. Ultrasound-guided obturator nerve block: a proximal interfascial technique. Anesth Analg. 2012;114(1):236–9.

    Article  PubMed  Google Scholar 

  11. Myllynen P, Makela A, Kontula K. Aseptic necrosis off the femoral head during pregnancy. Obstet Gynecol. 1988;71:495–8.

    CAS  PubMed  Google Scholar 

  12. Pourbagher MA, Ozalay M, Pourbagher A. Accuracy and outcome of sonographically guided intra-articular sodium hyaluronate injections in patients with osteoarthritis of the hip. J Ultrasound Med. 2005;24:1391–5.

    PubMed  Google Scholar 

  13. Ng I, Vaghadia H, Choi PT, Helmy N. Ultrasound imaging accuracy identifies the lateral femoral cutaneous nerve. Anesth Analg. 2008;107:1070–4.

    Article  PubMed  Google Scholar 

  14. http://Mayoclinic.org.

  15. Smith H, Pappagello M. Essential pain pharmacology. Cambridge: Cambridge University Press; 2012.

    Book  Google Scholar 

  16. Adams K, et al. Safety of pain therapy during pregnancy and lactation in patients with inflammatory arthritis: a systematic literature review. J Rheumatol Suppl. 2012;90:59–61.

    Article  PubMed  Google Scholar 

  17. Briggs G, Ambrose P, Illett K, et al. Use of duloxetine in pregnancy and lactation. Ann Pharmacol. 2009;43(11):1898–902.

    Article  Google Scholar 

  18. Boyce P, Hackett L, Illett K. Duloxetine transfers across the placenta during pregnancy and into mild during lactation. Arch Womens Ment Health. 2011;14:169–72.

    Article  PubMed  Google Scholar 

  19. Patil A, Kuller J, Rhee E. Antidepressants in pregnancy: a review of commonly prescribed medications. Obstet Gynecol Surv. 2011;66(12):777–87.

    Article  PubMed  Google Scholar 

  20. Wlodarczyk BJ, Palacios AM, George TM, Finnell RH. Antiepileptic drugs and pregnancy outcomes. Am J Med Genet A. 2012;158A:2071–90.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Ferreira CW, Alburquerque-Sendı NF. Effectiveness of physical therapy for pregnancy-related low back and/or pelvic pain after delivery: a systematic review. Physiother Theory Pract. 2013;29(6):419–31.

    Article  PubMed  Google Scholar 

  22. http://Opana.org.

  23. http://Suboxone.com.

  24. http://Rxlist.org

  25. http://Amrix.com.

  26. Bundsen P, Ericson K. Pain relief in labour by transcutaneous electrical nerve stimulation safety aspects. Acta Obstet Gynaecol Scand. 1982;61(1):1–5.

    Article  CAS  Google Scholar 

  27. Pennick VE, Young G. Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database Syst Rev. 2007;2, CD001139.

    PubMed  Google Scholar 

  28. Peterson C, Haas M, Gregory T. A pilot randomized controlled trial comparing the efficacy of exercise, spinal manipulation, and neuro emotional technique for the treatment of pregnancy related low back pain. Chiropr Man Therap. 2012;20:18.

    Article  PubMed Central  PubMed  Google Scholar 

  29. Braddom RL, Buschbacher RM. Physical medicine and rehabilitation. Philadelphia: Saunders; 2000.

    Google Scholar 

  30. O’Conner P, Poudevigne M, Cress M. Safety and efficacy of supervised strength training adopted in pregnancy. J Phys Act Health. 2011;8(3):309–20.

    Google Scholar 

  31. Stuber KJ, Smith DL. Chiropractic treatment of pregnancy-related low back pain: a systematic review of the evidence. J Manipulative Physiol Ther. 2008;31:447–54.

    Article  PubMed  Google Scholar 

  32. Damen L, Spoor C, Snijders C, Stam H. Does a pelvic belt influence sacroiliac joint laxity? Clin Biomech. 2002;17:495–8.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Yolanda Scott M.D.

Authors
  1. Yolanda Scott M.D.
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Editor information

Editors and Affiliations

  1. Department of Rehabilitation Medicine, Interventional Pain Management, New York University , Langone Medical Center, New York, New York, USA

    Kimberly A. Sackheim

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Scott, Y. (2015). Pain Management During Pregnancy and Breast-Feeding. In: Sackheim, K. (eds) Pain Management and Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2462-2_32

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  • DOI: https://doi.org/10.1007/978-1-4939-2462-2_32

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2461-5

  • Online ISBN: 978-1-4939-2462-2

  • eBook Packages: MedicineMedicine (R0)

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