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[Neuraxial labor analgesia: a literature review].

Abstract：

:The use of analgesia techniques for labor has become increasingly frequent, with neuraxial techniques being the most commonly used and most effective. Labor pain entails a number of physiological consequences that may be negative for the mother and fetus, and therefore must be treated. This literature review was performed through a search in the PubMed database, from July to November 2016, and included articles in English or Portuguese, published between 2011 and 2016 or anteriorly, if relevant to the topic. The techniques were divided into the following topics: induction (epidural, combined epidural-spinal, continuous spinal, and epidural with dural puncture) and maintenance of analgesia (continuous epidural infusion, patient-controlled epidural analgesia, and intermittent epidural bolus). Epidural analgesia does not alter the incidence of cesarean sections or fetal prognosis, and maternal request is a sufficient indication for its initiation. The combined technique has the advantage of a faster onset of analgesia; however, patients are subject to a higher incidence of pruritus resulting from the intrathecal administration of opioids. Patient-controlled analgesia seems to be an excellent technique, reducing the consumption of local anesthetics, the number of anesthesiologist interventions, and increasing maternal satisfaction.

journal_name

Rev Bras Anestesiol

journal_title

Revista brasileira de anestesiologia

authors

Aragão FF,Aragão PW,Martins CA,Leal KFCS,Ferraz Tobias A

doi

10.1016/j.bjan.2018.12.001

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

291-298

issue

3

eissn

0034-7094

issn

1806-907X

pii

S0034-7094(17)30541-X

journal_volume

69

pub_type

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