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Obstetric analgesia

Labour pain appearing during uterine contractions is a reaction of a pregnant woman’s organism preparing for labour. Intensity of labour pain is individual, because perception of pain is affected by somatic, mental and social factors. Therefore, approach to analgesia must be individual as well. Currently, any of many farmacological and non-farmacological means can be used. Epidural analgesia is one of the most commonly used means, lately accompanied by remifentanil. Correctly indicated and administered labour analgesia may help to reduce incidence of labour complications at both mother and child.

Author: MUDr. Petr Štourač, Bc. Zuzana Brachaczková, Petra Holečková, Lenka Nedomová

Institution: Faculty of Medicine at Masaryk University in Brno

Medical discipline: Emergency Medicine

Keywords: labour | epidural analgesia | remifentanil

Educational evel: Undergraduate level | Graduate

Labour pain appearing during uterine contractions is a reaction of a pregnant woman’s organism preparing for labour. Intensity of labour pain is individual, because perception of pain is affected by somatic, mental and social factors. Therefore, approach to analgesia must be individual as well. Currently, any of many farmacological and non-farmacological means can be used. Epidural analgesia is one of the most commonly used means, lately accompanied by remifentanil. Correctly indicated and administered labour analgesia may help to reduce incidence of labour complications at both mother and child.


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Review

Reviewer:

doc.MUDr. Antonin Pařízek, PhD., Chief physician of the birthing room, Gynecology and Obstetrics Department, 1st Medical Faculty of Charles University and the General Teaching Hospital in Prague, Prague, Czech Republic

This educational algorithm called Obstetric Analgesia presents the topic of birth pains relief. The right choice of analgetic together with the right performance of analgesia helps to prevent many complications of the both mother and fetus, or newborn. The algorithm presents in an interesting way today golden standard of obstetric analgesia – epidural analgesia, and it also introduces remifentanil as a new way of obstetric analgesia. Furthermore, the algorithm informs about possible complications of the both methods and their solution. The way through the algorithm is nicely liven up by unconventional multimedias.

publikováno: 8.4.2015 | last modified on: 16.5.2018