Advertisement

Pain Control During Labour

  • C. Benedetto
  • M. Zonca
  • L. Bonino
  • S. Blefari
  • E. Gollo

Abstract

Labour pain is described as a complex, subjective and multidimensional experience characterized by severe pain. Usually, labour is divided into three stages. The first stage is defined as the beginning of regular uterine contractions until cervical dilatation is completed. The second stage is from the end of the first stage until the delivery of the fetus, and the third stage continues until the placenta and membranes have been discharged. During the first stage the pain is mainly visceral and mediated by the T10-L1 segments of the spine, while during the second stage, an additional somatic component is present, mediated by the S1-S4 segments of the spine.

Keywords

Epidural Analgesia Fetal Heart Rate Labour Pain Labour Analgesia Motor Blockade 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Eltzchig HK, Liberman ES, Camann W (2003) Regional anesthesia and analgesia for labor and delivery. N Engl J Med 348:319–332CrossRefGoogle Scholar
  2. 2.
    Sharma SK, Sidawi JE, Ramin SM et al (1997) Cesarean delivery: a randomized trial of epidural versus patient-controlled meperidine analgesia during labor. Anesthesiology 87:487–494PubMedCrossRefGoogle Scholar
  3. 3.
    Task Force on Obstetrical Analgesia (1993) A report by the American Society of Anesthesiologists. Practical Guidelines for Obstetrical AnesthesiaGoogle Scholar
  4. 4.
    Anim-Somuah M, Smyth R, Howell CJ (2005) Epidural versus non-epidural or no analgesia in labour [review]. Cochrane Database Syst Rev issue 4, art no CD000331. DOI: 10.1002/14651858.CD000331.pub2Google Scholar

Copyright information

© Springer 2008

Authors and Affiliations

  • C. Benedetto
    • 1
  • M. Zonca
    • 1
  • L. Bonino
    • 1
  • S. Blefari
    • 1
  • E. Gollo
    • 2
  1. 1.Chair C of the Department of Obstetrics and GynaecologyUniversity of TurinTurin
  2. 2.Department of AnaesthesiaOIRM S. AnnaTurinItaly

Personalised recommendations