Meng Marie-Louise, Smiley Richard
Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA.
F1000Res. 2017 Jul 25;6:1211. doi: 10.12688/f1000research.11130.1. eCollection 2017.
The availability of safe, effective analgesia during labor has become an expectation for women in most of the developed world over the past two or three decades. More than 60% of women in the United States now receive some kind of neuraxial procedure during labor. This article is a brief review of the advantages and techniques of neuraxial labor analgesia along with the recent advances and controversies in the field of labor analgesia. For the most part, we have aimed the discussion at the non-anesthesiologist to give other practitioners a sense of the state of the art and science of labor analgesia in the second decade of the 21st century.
在过去二三十年里,在分娩期间可获得安全、有效的镇痛已成为大多数发达国家女性的一种期望。现在,美国超过60%的女性在分娩期间接受某种形式的神经轴阻滞操作。本文简要回顾了分娩期神经轴阻滞镇痛的优势和技术,以及分娩镇痛领域的最新进展和争议。在很大程度上,我们的讨论对象是非麻醉医生,目的是让其他从业者了解21世纪第二个十年分娩镇痛的技术和科学现状。