Pain Management in Pregnancy: Multimodal Approaches

Nonobstetrical causes of pain during pregnancy are very common and can be incapacitating if not treated appropriately. Recent reports in the literature show that a significant percentage of pregnant women are treated with opioids during pregnancy. To address common pain conditions that present durin...

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Bibliographic Details
Published in:Pain Research and Treatment 2015-01, Vol.2015, p.192-206
Main Authors: Shah, Shalini, Banh, Esther T., Koury, Katharine, Bhatia, Gaurav, Nandi, Roneeta, Gulur, Padma
Format: Article
Language:English
Subjects:
Back pain
Care and treatment
Fetuses
Methods
Pain
Pain management
Pregnancy
Pregnant women
Review
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Summary:Nonobstetrical causes of pain during pregnancy are very common and can be incapacitating if not treated appropriately. Recent reports in the literature show that a significant percentage of pregnant women are treated with opioids during pregnancy. To address common pain conditions that present during pregnancy and the available pharmacological and nonpharmacological treatment options, for each of the pain conditions identified, a search using MEDLINE, PubMed, Embase, and Cochrane databases was performed. The quality of the evidence was evaluated in the context of study design. This paper is a narrative summary of the results obtained from individual reviews. There were significant disparities in the studies in terms of design, research and methodology, and outcomes analyzed. There is reasonable evidence available for pharmacological approaches; however, these are also associated with adverse events. Evidence for nonpharmacological approaches is limited and hence their efficacy is unclear, although they do appear to be primarily safe. A multimodal approach using a combination of nonpharmacological and pharmacological options to treat these pain conditions is likely to have the most benefit while limiting risk. Research trials with sound methodology and analysis of outcome data are needed.
ISSN:2090-1542
2090-1550
DOI:10.1155/2015/987483