Neuraxial analgesia effects on labour progression: facts, fallacies, uncertainties and the future

Approximately 60% of women who labour in the USA receive some form of neuraxial analgesia, but concerns have been raised regarding whether it negatively impacts the labour and delivery process. In this review, we attempt to clarify what has been established as truths, falsities and uncertainties reg...

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Bibliographic Details
Published in:BJOG : an international journal of obstetrics and gynaecology 2015-02, Vol.122 (3), p.288-293
Main Authors: Grant, EN, Tao, W, Craig, M, McIntire, D, Leveno, K
Format: Article
Language:English
Subjects:
Analgesia
Analgesia, Epidural - methods
Analgesia, Epidural - trends
Analgesia, Obstetrical - methods
Analgesia, Obstetrical - trends
Analgesics
Childbirth & labor
Delivery, Obstetric
Dystocia - drug therapy
epidural
Female
Humans
Labor Pain - drug therapy
Labor, Obstetric - drug effects
labour
Nervous system
neuraxial
Pain Measurement
Parturition
Patient Satisfaction
Pregnancy
Treatment Outcome
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Summary:Approximately 60% of women who labour in the USA receive some form of neuraxial analgesia, but concerns have been raised regarding whether it negatively impacts the labour and delivery process. In this review, we attempt to clarify what has been established as truths, falsities and uncertainties regarding the effects of this form of pain relief on labour progression, negative and/or positive. Additionally, although the term ‘epidural’ has become synonymous with neuraxial analgesia, we discuss two other techniques, combined spinal‐epidural and continuous spinal analgesia, that are gaining popularity, as well as their effects on labour progression.
ISSN:1470-0328
1471-0528
DOI:10.1111/1471-0528.12966