Fields S A, Wall E M
Department of Family Medicine, Oregon Health Sciences University, Portland.
Prim Care. 1993 Sep;20(3):705-12.
A number of analgesic and anesthetic options are available for patients during the intrapartum period. Appropriate attention in the prenatal period to patient education regarding these options is imperative. If pharmacologic anesthesia is required, risks and benefits both to the mother and neonate must be considered. If cesarean section is necessary, consideration of regional or general anesthesia is appropriate. Women and their support people should be involved in the discussion of anesthesia and analgesic options. This discussion should begin during the prenatal period to ensure that the woman has an opportunity to make an informed choice. When the woman presents in labor, the anesthetic plan may again need to be revised. Continued patient-doctor communication throughout labor is essential with the woman's preferences, tempered by sound medical judgment, guiding optimal pain control.
在分娩期，可为患者提供多种镇痛和麻醉选择。产前阶段必须对患者进行关于这些选择的适当教育。如果需要药物麻醉，必须考虑对母亲和新生儿的风险与益处。如果有必要进行剖宫产，考虑区域麻醉或全身麻醉是合适的。女性及其支持人员应参与麻醉和镇痛选择的讨论。此讨论应在产前阶段开始，以确保女性有机会做出明智的选择。当女性进入分娩时，麻醉计划可能再次需要修订。在整个分娩过程中，持续的医患沟通至关重要，要结合女性的偏好，并以合理的医学判断为指导，以实现最佳的疼痛控制。
