The nature and consequences of childbirth pain

Brownridge, P.

doi:10.1016/0028-2243(95)02058-z

Cited by 121 publications

(82 citation statements)

References 54 publications

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“…Labour pain evokes a generalized neuroendocrine stress response that has widespread physiological effects on the parturient and fetus. 10 The sequelae of hyperventilation, secretion of stress related hormones and increased oxygen consumption can be prevented, obtunded or abolished by central neuraxial blockade. It is on this basis that early epidural analgesia is recommended in CPT deficiency.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management of a parturient with carnitine palmitoyltransferase ii deficiency

Lilker

Kasodekar

Goldszmidt

2006

Can J Anesth/J Can Anesth

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Purpose: To report the anesthetic management of a patient with carnitine palmitoyltransferase II deficiency who presented for labour and delivery. Clinical features:A 30-yr-old primiparous woman with known carnitine palmitoyltransferase II deficiency and a past history of exercise induced muscle pain, weakness and myoglobinuria presented in active labour. Management consisted of an early epidural for labour and continuous dextrose infusion with frequent blood sugar monitoring. She had an uneventful spontaneous vaginal delivery. She experienced a single asymptomatic episode of hypoglycemia on the first postpartum day. Her serum creatine kinase was six times normal at 24 hr postdelivery and remained elevated for three days without evidence of rhabdomyolysis. The remainder of her postpartum course was uneventful. Conclusion:Labour and delivery is a potential precipitant of rhabdomyolysis in patients with carnitine palmitoyltransferase II deficiency. The normal postpartum creatine kinase elevation (two to four times baseline at 24 hr) must be taken into account when monitoring these patients. On the basis of the physiologic principles, institution of early epidural analgesia to blunt the stress response to labour and delivery, continuous dextrose infusion and frequent glucose monitoring during labour and postpartum are the mainstays of management. Objectif

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Section: Discussionmentioning

confidence: 99%

Anesthetic management of a parturient with carnitine palmitoyltransferase ii deficiency

Lilker

Kasodekar

Goldszmidt

2006

Can J Anesth/J Can Anesth

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“…One possible explanation is that support buffers against the emotional consequences of obstetric events by reducing fear and anxiety, and increasing perceived control. Experiencing negative emotions during labour has been hypothesised to increase pain (Dick-Read, 1933) and impede the birth process through a number of physiological pathways (Brownridge, 1995), possibly explaining why being unsupported in labour has been associated with more obstetric complications (Hodnett et al, 2003).…”

mentioning

confidence: 99%

Stressful events and support during birth: The effect on anxiety, mood and perceived control

Ford

Ayers

2009

Journal of Anxiety Disorders

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“…Addressing disparities in the use of labor analgesia is of great importance, because childbirth is the most common reason for hospital admission in the US [23], and labor is associated with severe pain [24]. Labor pain is most effectively treated with neuraxial analgesia [25].…”

Section: Disparities In Obstetric Anesthesiamentioning

confidence: 99%

Racial and Ethnic Disparities in Obstetrics and Obstetric Anesthesia in the United States

Toledo¹,

Caballero

2013

Curr Anesthesiol Rep

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Disparities are prevalent within healthcare. Racial and ethnic disparities have been described in the use of neuraxial labor analgesia, in the prevalence of some obstetric conditions, and in obstetric outcomes. The origins of these disparities are likely to be multi-factorial, with patient, provider, and systems-level contributors. One of the objectives of Healthy People 2020 is to achieve health equity, thus eliminating racial and/or ethnic disparities in care. In this review, we give an overview of disparities in obstetric anesthetic and obstetric care.

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The nature and consequences of childbirth pain

Cited by 121 publications

References 54 publications

Anesthetic management of a parturient with carnitine palmitoyltransferase ii deficiency

Anesthetic management of a parturient with carnitine palmitoyltransferase ii deficiency

Stressful events and support during birth: The effect on anxiety, mood and perceived control

Racial and Ethnic Disparities in Obstetrics and Obstetric Anesthesia in the United States

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