ACOG Practice Bulletin No. 209: Obstetric Analgesia and Anesthesia

Obstetrics and Gynecology
American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Obstetrics

Abstract

Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to safe intervention while the individual is under a physician's care. Many women desire pain management during labor and delivery, and there are many medical indications for analgesia and anesthesia during labor and delivery. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. A woman who requests epidural analgesia during labor should not be deprived of this service based on the status of her health insurance. Third-party payers that provide reimbursement for obstetric services should not deny reimbursement for labor analgesia because of an absence of "other medical indications." Anesthesia services should be available to provide labor analgesia and surgical anesthesia in all hospitals that offer maternal care (levels I-IV) (). Although the availability of different methods of labor analgesia will vary from hospital to hospital, the methods available within an institution should not be based on a patient's ability to pay.The American College of Obstetricians and Gynecologist...Continue Reading

References

May 1, 1987·Anaesthesia·G L Samsoon, J R Young
Apr 13, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Chahé MardirosoffMartin R Tramèr
May 16, 2002·American Journal of Obstetrics and Gynecology·Nancy K Lowe
May 16, 2002·American Journal of Obstetrics and Gynecology·Mark A Rosen
Feb 18, 2005·The New England Journal of Medicine·Cynthia A WongSharon Grouper
Oct 11, 2005·Critical Care Medicine·Uma MunnurMaya S Suresh
Dec 1, 2006·International Breastfeeding Journal·Siranda TorvaldsenDavid A Ellwood
Dec 5, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Jamal A AlhashemiAbdullah M Kaki
May 25, 2007·International Journal of Obstetric Anesthesia·William Camann
Nov 7, 2007·Drugs·Arjunan Ganesh, Lynne G Maxwell
Aug 18, 2009·Anaesthesia and Intensive Care·N J McDonnellM J Paech
Sep 9, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·S JordanG Morgan
Jun 10, 2010·Anesthesia and Analgesia·Yaakov Beilin, Stephen Halpern
Sep 24, 2010·Anesthesia and Analgesia·Scott Segal
Feb 24, 2011·Obstetrics and Gynecology·Laura E RileyEllice S Lieberman
Jul 25, 2012·Anesthesia Progress·Daniel E Becker, Kenneth L Reed
Dec 12, 2012·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Anne MontgomeryUNKNOWN Academy Of Breastfeeding Medicine
Oct 10, 2013·Journal of Anaesthesiology, Clinical Pharmacology·Kamal Kumar, Sudha Indu Singh
Dec 5, 2013·Anesthesia and Analgesia·Shiv K SharmaKenneth J Leveno
Dec 21, 2013·Anesthesia and Analgesia·Frances E LikisMelissa L McPheeters
Jan 1, 2014·Paediatric Anaesthesia·Priti G DalalCheston Berlin

❮ Previous
Next ❯

Citations

Jun 13, 2019·Obstetrics and Gynecology·Jalal A NanjiBrendan Carvalho
Jun 21, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Liane J BaileyAnn Kinga Malinowski
Jun 5, 2020·Obstetrics and Gynecology·Christina M DuzyjChristina S Han
Jan 29, 2020·Current Treatment Options in Cardiovascular Medicine·Sarah Rae EasterKatherine E Economy
Apr 14, 2020·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Heidi Sze Lok FanMarie Tarrant
Feb 11, 2020·International Anesthesiology Clinics·Erica HollandChloe Zera
Aug 12, 2020·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Kathleen Rice Simpson
Apr 26, 2019·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists' Committee on PracticeBulletins—Obstetrics
Feb 8, 2020·Chinese Medical Journal·Zhi-Qiang LiuShang-Long Yao
Feb 19, 2021·Expert Opinion on Drug Safety·Anna Viola TaulaigoLaura Andreoli
Feb 6, 2021·American Journal of Obstetrics & Gynecology MFM·Melanie M MaykinAdam K Lewkowitz
Aug 12, 2020·Nursing for Women's Health·Kathleen Rice Simpson
Apr 9, 2021·American Journal of Obstetrics & Gynecology MFM·Lindsay S RobbinsLorie M Harper
Aug 18, 2021·Anesthesia and Analgesia·Zhendong Xu, Zhiqiang Liu
Aug 24, 2020·Explore : the Journal of Science and Healing·Hülya Türkmen, Nazan Tuna Oran
Dec 22, 2021·Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia·Inês ReisCátia Rasteiro
Jan 12, 2022·BJOG : an International Journal of Obstetrics and Gynaecology·Natalia C LlarenaEric Chiang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Obstetrics and Gynecology
Committee on Practice Bulletins—Obstetrics
International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
American College of Obstetrics and Gynecology
© 2022 Meta ULC. All rights reserved