Caruselli Marco, Camilletti Gianfranco, Torino Giovanni, Pizzi Simone, Amici Mirco, Piattellini Gianmarco, Pagni Raffaella
Anesthesia and Intensive Care Unit, Children’s Hospital Salesi, Ancona, Italy.
J Matern Fetal Neonatal Med. 2011 Feb;24(2):250-2. doi: 10.3109/14767058.2010.482625. Epub 2010 Jun 23.
For many years the opportunity of reducing the pain of birth through the administering of drugs (e.g. local anesthetics and opioids) into the epidural space has been known. Numerous studies have been conducted throughout the years to clarify whether the use of the epidural has resulted in a higher incidence of cesarean sections but it appears that this is due more to maternal-fetal factors than it is to the epidural. In this study, we have outlined the experience of the Anesthesia and Intensive Care Unit of an Italian Children's Hospital in which approximately-2500 births take place every year and in which there is an active birth analgesia service which requires the presence of a dedicated anesthetist.
多年来，人们一直知道通过向硬膜外腔注射药物（如局部麻醉剂和阿片类药物）来减轻分娩疼痛的可能性。多年来进行了大量研究，以阐明硬膜外麻醉的使用是否导致剖宫产率更高，但似乎这更多是由于母婴因素，而非硬膜外麻醉本身。在本研究中，我们概述了一家意大利儿童医院麻醉与重症监护病房的经验，该医院每年约有2500例分娩，并且设有活跃的分娩镇痛服务，这需要有专门的麻醉师在场。
