Reflections on the topic of the impact of epidural analgesia on the outcome of childbirth

Authors

  • E. V. Grizhimalsky The Department of Anesthesiology and Intensive Care of Clinic “Leleka”, Kyiv

Keywords:

birth, pain, epidural analgesia, c-section

Abstract

Relieving the pains of childbirth is a very important aspect of obstetric care organization. Effective relieving using neuroaxial analgesia with solutions of local anesthetics in low concentration is a safe method of anesthesia for labor. There is no need to linger with the onset of epidural analgesia in labor, it can be started after the woman’s first request for anesthesia. Epidural analgesia does not lead to an increase in the probability of caesarean section compared with the parenteral administration of narcotic analgesics. It can lead to an increase in the likelihood instrumental delivery through the natural birth canal. The use of epidural analgesia does not affect the risk of negative neonatal outcomes. For epidural analgesia, it is necessary to use a low concentration of local anesthetics in combination with narcotic analgesics.

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Published

2017-09-01

How to Cite

1.
Grizhimalsky EV. Reflections on the topic of the impact of epidural analgesia on the outcome of childbirth. PMJUA [Internet]. 2017 Sep. 1 [cited 2023 Feb. 8];2(3):59-65. Available from: https://painmedicine.org.ua/index.php/pnmdcn/article/view/66

Issue

Section

Clinical thinking