RT Book, Section
A1 Browne, Ingrid
A1 Deighan, Mairead
A2 Santos, Alan C.
A2 Epstein, Jonathan N.
A2 Chaudhuri, Kallol
SR Print(0)
ID 1108522792
T1 Non-neuraxial Labor Analgesia
T2 Obstetric Anesthesia
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071786133
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1108522792
RD 2024/04/20
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.