TY - CHAP M1 - Book, Section TI - Non-neuraxial Labor Analgesia A1 - Browne, Ingrid A1 - Deighan, Mairead A2 - Santos, Alan C. A2 - Epstein, Jonathan N. A2 - Chaudhuri, Kallol PY - 2015 T2 - Obstetric Anesthesia AB - Labor is different for every woman, and the methods chosen for pain relief will depend on the obstetric/medical condition, the techniques locally available, and the preference of the patient. Neuraxial analgesia is the most effective method. However, there are many mothers who wish to avoid intervention or in whom the technique is contraindicated or impossible to perform. Contraindications for regional labor analgesia may include coagulopathy, local infection, allergy to local anesthetics, and uncorrected hypovolemia. Difficulties in placing epidurals can arise from anatomical deformities, postsurgical spine corrections, and obesity. For this group of parturients, alternative methods may be required and often will involve alternatives to neuraxial analgesia such as nonpharmacologic and pharmacologic techniques. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1108522792 ER -