Department of Anesthesia and Perioperative Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Best Pract Res Clin Anaesthesiol. 2022 May;36(1):37-51. doi: 10.1016/j.bpa.2022.04.005. Epub 2022 Apr 22.
Labor creates an intense pain experienced by women across the world. Although neuraxial analgesia is the most effective treatment of labor pain, in many cases, it may not be undesired, not available, or have contraindications. In addition, satisfaction with labor analgesia is not only determined by the efficacy of analgesia but a woman's sense of agency and involvement in the childbirth experience are also key contributors. Providing safe choices for labor analgesia and support is central to creating a tailored, safe, and effective analgesic treatment plan with high maternal satisfaction. Healthcare provider knowledge of various nonneuraxial analgesic options, including efficacy, contraindications, safe clinical implementation, and side effects of various techniques is needed for optimal patient care and satisfaction. Future rigorous scientific studies addressing all of these labor analgesia options are needed to improve our understanding. This review summarizes the current published literature for commonly available non-neuraxial labor analgesic options.
分娩疼痛让全世界的女性都经历着剧痛。虽然椎管内镇痛是缓解分娩疼痛最有效的方法，但在许多情况下，可能并不理想、无法获得或存在禁忌症。此外，分娩镇痛的满意度不仅取决于镇痛效果，女性对分娩过程的自主权和参与感也是关键因素。为分娩镇痛提供安全的选择和支持是制定个体化、安全、有效的镇痛治疗计划并提高产妇满意度的核心。医护人员需要了解各种非椎管内镇痛选择，包括疗效、禁忌症、安全的临床实施以及各种技术的副作用，以实现最佳的患者护理和满意度。需要进行未来严格的科学研究来解决所有这些分娩镇痛选择，以提高我们的认识。本综述总结了目前已发表的关于常用非椎管内分娩镇痛选择的文献。
