Modern Neuraxial Anesthesia for Labor and Delivery

Abstract

The availability of safe, effective analgesia during labor has become an expectation for women in most of the developed world over the past two or three decades. More than 60% of women in the United States now receive some kind of neuraxial procedure during labor. This article is a brief review of the advantages and techniques of neuraxial labor analgesia along with the recent advances and controversies in the field of labor analgesia. For the most part, we have aimed the discussion at the non-anesthesiologist to give other practitioners a sense of the state of the art and science of labor analgesia in the second decade of the 21st century.

Women’s epidural decision‐making in labour: A Townsville perspective

“…As seen in Phase One, women consult their peers for anecdotal evidence regarding epidurals, which could be a problem if their peers delivered when care was directed by different protocols and procedures. As epidurals have evolved since their introduction for labour analgesia 23 it is important to clarify women’s epidural knowledge and encourage them to seek accurate, up‐to‐date information to guide their decision‐making. The influence of partners identifies another key audience that clinicians should keep in mind when counselling about analgesia options.…”

Labour analgesia; Molecular pathway and the role of nanocarriers: a systematic review

“…A new technique, DPE (Dural Puncture Epidural), involves the performance of a CSE but without administration of an intrathecal medication dose. In contrast with standard epidural analgesia, DPE produces greater analgesia [14].…”

Neuroxial methods of labor analgesia. Clinical guidelines

“…-нейроаксиальная аналгезия [2,16]: -эпидуральная; -спинальная; -комбинированная спинально-эпидуральная.…”