Leeman Lawrence, Fontaine Patricia, King Valerie, Klein Michael C, Ratcliffe Stephen
University of New Mexico School of Medicine, Dept. of Family Practice, Albuquerque, New Mexico 87131, USA.
Am Fam Physician. 2003 Sep 15;68(6):1109-12.
Pain in labor is a nearly universal experience for childbearing women. A recent evidence-based symposium on the nature and management of labor pain brought together family physicians, obstetricians, midwives, obstetric anesthesiologists, and childbirth educators to discuss a series of commissioned systematic reviews. Although management of labor pain plays a relatively minor role in a woman's satisfaction with childbirth compared with the quality of the relationship with her maternity caregiver and the degree of participation she has in decision making, it is an important topic for women and their caregivers. Nonpharmacologic methods of pain relief such as labor support, intradermal water blocks, and warm water baths are effective techniques for management of labor pain. An increased availability of these methods can provide effective alternatives for women in labor.
分娩疼痛对生育期女性来说几乎是一种普遍的经历。最近召开了一次关于分娩疼痛的性质与管理的循证研讨会，参会人员包括家庭医生、产科医生、助产士、产科麻醉医生和分娩教育工作者，旨在讨论一系列委托进行的系统评价。尽管与产妇和其产科护理人员之间的关系质量以及产妇参与决策的程度相比，分娩疼痛管理在产妇对分娩的满意度中所起的作用相对较小，但它仍是女性及其护理人员的一个重要话题。非药物性疼痛缓解方法，如分娩支持、皮内水阻滞和温水浴，是管理分娩疼痛的有效技术。这些方法的更多可及性能够为分娩中的女性提供有效的替代方案。
