Sanz Díaz C
Servicio de Obstetricia y Ginecología, Hospital Virgen de la Luz, Cuenca.
Rev Enferm. 1998 Dec;21(244):17-21.
Analgesia during childbirth is a right which should be at the disposal of every woman who desires it. Adequate pain control may reduce maternal anxiety and thus help make childbirth become a more satisfactory procedure. The parenteral administration of meperidine and epidural anesthesia are the most utilized types of obstetrical analgesia. Each of these two has its advantages as well as some secondary effects to bear in mind. Meperidine is very easy to administer; however, meperidine affects the degree of maternal consciousness and produces neonatal depression. On the other hand, epidural anesthesia has stronger analgesic power and does not interfere in the maternal-child relationship; however, it increases the risk of difficulties during childbirth. These secondary effects are the counterweights to consider when deciding whether or not to administer analgesia and if so, which kind.
分娩镇痛是每一位有此需求的女性都应享有的权利。充分的疼痛控制可以减轻产妇的焦虑，从而有助于使分娩成为一个更令人满意的过程。哌替啶的胃肠外给药和硬膜外麻醉是产科镇痛最常用的方式。这两种方式各有优点，同时也有一些需要注意的副作用。哌替啶给药非常容易；然而，哌替啶会影响产妇的意识程度并导致新生儿抑制。另一方面，硬膜外麻醉镇痛效果更强，且不干扰母婴关系；然而，它会增加分娩时出现困难的风险。在决定是否进行镇痛以及如果进行镇痛则选择何种方式时，这些副作用是需要权衡考虑的因素。
