Neuraxial techniques of labour analgesia

Indian Journal of Anaesthesia
Sunanda Gupta, Seema Partani

Abstract

In recent years, many neuraxial techniques have been introduced to initiate and maintain labour analgesia, with low-dose mixtures of local anaesthetics and opioids, which have improved the quality of analgesia and made it safer for both mother and neonate. An independent search of the databases of PubMed, Medline, and Cochrane controlled trial data was conducted by two researchers, and randomized controlled trials that compared different methods of neuraxial analgesia and the different techniques of maintaining labor analgesia were retrieved and analyzed. The advantages, disadvantages, and indications of each technique along with the doses of intrathecal and epidural drugs are discussed. The myths and controversies involving neuraxial labor analgesia and the current consensus on their effect on the maternal and foetal outcomes are also outlined.

References

Mar 15, 2006·Archives of Gynecology and Obstetrics·Krzysztof M Kuczkowski
Apr 18, 2008·Cytometry. Part a : the Journal of the International Society for Analytical Cytology·Attila Tárnok
Apr 21, 2017·Anesthesia and Analgesia·Cynthia A Wong
May 28, 2017·International Urogynecology Journal·Louise E OlsonTamsin J Greenwell
Oct 11, 2017·Obstetrics and Gynecology·XiaoFeng ShenPhilip E Hess

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