Epidural analgesia in labor: A narrative review

被引：67

作者：

Halliday, Lucy ^{[1
]}

Nelson, Scott M. ^{[1
]}

Kearns, Rachel J. ^{[1
]}

机构：

[1] Univ Glasgow, Sch Med, Glasgow, Lanark, Scotland

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 2022年 / 159卷 / 02期

关键词：

epidural; labor analgesia; maternal outcomes; neuraxial; obstetric analgesia; obstetric outcomes; LOCAL-ANESTHETICS; BUPIVACAINE; INFUSION; SUFENTANIL; FENTANYL; OUTCOMES;

D O I：

10.1002/ijgo.14175

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Lumbar epidural is the most effective form of pain relief in labor with around 30% of laboring women in the UK and 60% in the USA receiving epidural analgesia. Associations of epidural on maternal, obstetric, and neonatal outcomes have been the subject of intense study, though a number of uncertainties persist. The present narrative review explores important areas of research surrounding epidural analgesia in obstetric patients including methods of initiation and administration, choice of local anesthetic solution, and the addition of adjuvants. Key meta-analyses exploring associations of epidural analgesia on maternal and neonatal outcomes are identified and summarized.

引用

页码：356 / 364

页数：9

共 43 条

[1] Epidural versus non-epidural or no analgesia for pain management in labour (Review) [J].