REVIEW OF OPIOID PCA FOR LABOUR ANALGESIA

2012 ◽  
Vol 23 (1) ◽  
pp. 15-31
Author(s):  
DAVID HILL ◽  
PAUL McMACKIN
Keyword(s):  
Epidural Analgesia ◽  
Gold Standard ◽  
Labour Analgesia ◽  
Viable Alternative

The epidural route is currently the gold standard for labour analgesia, although it is not without serious consequences, especially when incorrect placement goes unrecognised. Intravascular, intrathecal and subdural placements have been reported to occur with incidences of 1 in 5000, 1 in 2900 and 1 in 4200 respectively. Until recent years there has not been a viable alternative to epidural analgesia.

scholarly journals Awareness and perception of epidural labor analgesia among pregnant women visiting antenatal clinic in National Referral Hospital

2021 ◽  
Vol 16 (1) ◽  
pp. 10-15
Author(s):  
Tandin Tshomo ◽  
Karma Tenzin ◽  
Jamphel Tshering
Keyword(s):  
Pain Relief ◽  
Epidural Analgesia ◽  
Pregnant Women ◽  
Labour Pain ◽  
Good Method ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Labour Analgesia ◽  
Cross Sectional ◽  
Labour Epidural Analgesia

Aims: To assess the awareness and perception of labour epidural analgesia among pregnant women visiting the antenatal clinic. Methods: This was an observational cross-sectional study. Study participants included pregnant women visiting the antenatal clinic during 2nd and 3 rd trimester conducted from 21 st September 2018 till 20 th September 2019. Data were collected by using an interviewer-administered questionnaire. Ethics approval was granted by the research Ethics Board of health, Bhutan. Results: Total 450 parturients participated in this study; 61.4% of the participants knew that labour epidural services were available and 37.5% got information through media. A total of 57.3% of respondents had severe fear about labour pain; 62.4% had severe fear about delivery complication; 85.2% thought that epidural labour analgesia was a good method of pain relief; and 67% were willing to accept it for their current pregnancy. However, 86.6% would recommend epidural labour analgesia as an option of pain relief to other pregnant women. Conclusion: Awareness about the availability of labour epidural analgesia services needs to be improved, as a majority of the parturient was keen to avail epidural analgesia after the information about its availability was provided.

scholarly journals Patient-controlled epidural analgesia for labor – a step forward in Ukrainian obstetrics

Pain medicine ◽  
2019 ◽  
Vol 4 (3) ◽  
pp. 67-70
Author(s):  
Yevhenii Grizhimalsky ◽  
Andrii Harha
Keyword(s):  
Patient Satisfaction ◽  
Pain Relief ◽  
Epidural Analgesia ◽  
Local Anesthetics ◽  
Gold Standard ◽  
Severe Pain ◽  
Labour Pain ◽  
Randomized Controlled ◽  
Randomized Controlled Studies

Labour pain is recognized by some women as the most severe pain that they have ever felt in their life. Epidural analgesia is an effective method of pain relief in labour and is considered as the gold standard of analgesia for delivery. Traditionally, epidural analgesia in Ukraine is performed without the ability for the patient to control the process of anesthesia. The authors became interested in the delivery of local anesthetics by patient­controlled epidural analgesia instead of the traditional physician methods. In randomized controlled studies there is an evidence that the PCEA method tends to improve the quality of pain relief and increase the patient satisfaction.

scholarly journals Restoring an international gold standard—A viable alternative?

1982 ◽  
Vol 17 (2) ◽  
pp. 60-64
Author(s):  
Wulfdiether Zippel
Keyword(s):  
Gold Standard ◽  
Viable Alternative

scholarly journals A Study of the Awareness and Acceptabilty of Labour Epidural Analgesia amongst Antenatal Clinic Attendees in One Tertiary Hospital

2020 ◽  
pp. 3-4
Author(s):  
S. Eli ◽  
D. G. B. Kalio ◽  
N. A. E. Okeji ◽  
B. O. A. Altraide ◽  
P. Kua ◽  
...  
Keyword(s):  
Pain Relief ◽  
Epidural Analgesia ◽  
Antenatal Clinic ◽  
Tertiary Hospital ◽  
Labour Analgesia ◽  
University Teaching ◽  
Middle Income ◽  
Lack Of Information ◽  
Low Middle Income Countries ◽  
Labour Epidural Analgesia

Background: The benefits of Pain relief to parturients in labour cannot be over-emphasized. However, in low middle income countries accessibility, availability and affordability these services are not optimum. This has made it near impossible for women in labour to benefit from epidural analgesia. Aim: This study was aimed to assess the knowledge of availability and level of acceptance of labour analgesia amongst antenatal clinic attendees at the department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital (RSUTH). Methods: The present observational study was conducted after informed consent was given by antenatal clinic attendees. Data was collected using a pretested questionnaire and analyzed using SPSS Version 25. Results: Response from 200 women with mean ± SD age and gestational age of 31.49 ± 4.89 years and 34.25 ± 4.75 weeks respectively. The modal Parity was 1. 56; while 106/200 (53%) were aware of pain relief in labour, 94/200 (47%) had no knowledge of pain relief in labour. Twenty eight (28/106) constituting 26.42% had knowledge of the pharmacological methods while 78 (73.59%) had non-specific ideas about pain relief in labour. Twenty six (26/28) (92.86%) of the respondents will accept epidural analgesia in labour. Conclusion: Knowledge of availability and acceptance of labour analgesia was poor. Lack of information is a major contributor for non-acceptance of labour analgesia. The inclusion and dissemination of information about labour analgesia by anaesthetists and obstetricians during antenatal classes would increase the knowledge about its availability and wide acceptance to these parturients.

scholarly journals Intrathecal Labor Analgesia Using Dexmedetomidine: A Viable Alternative to Epidural Analgesia

2021 ◽  
Vol 13 (5) ◽  
pp. 279-282
Author(s):  
Geetika G Syal ◽  
Sanjay Rathod ◽  
Rajeev Sood ◽  
Kartik Syal
Keyword(s):  
Epidural Analgesia ◽  
Labor Analgesia ◽  
Viable Alternative

Patient Controlled-epidural Analgesia with or without a Background Infusion for Labour Analgesia

2017 ◽  
Vol 15 (2) ◽  
pp. 1-8
Author(s):  
Figen Önder ◽  
Nurten Kayacan ◽  
Bilge Karsli ◽  
Zekiye Bigat
Keyword(s):  
Epidural Analgesia ◽  
Labour Analgesia ◽  
Background Infusion
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