Analgesia in Pregnancy

Leslie Matthews; Grace Lim

doi:10.1016/j.ogc.2022.10.016

Analgesia in Pregnancy

Obstet Gynecol Clin North Am. 2023 Mar;50(1):151-161. doi: 10.1016/j.ogc.2022.10.016.

Authors

Leslie Matthews¹, Grace Lim²

Affiliations

¹ Department of Anesthesiology & Perioperative Medicine, Division of Obstetric & Women's Anesthesiology, University of Pittsburgh School of Medicine, 300 Halket Street Suite 3510, Pittsburgh, PA 15215, USA. Electronic address: matthewslj@upmc.edu.
² Department of Anesthesiology & Perioperative Medicine, Division of Obstetric & Women's Anesthesiology, University of Pittsburgh School of Medicine, 300 Halket Street Suite 3510, Pittsburgh, PA 15215, USA; Department of Obstetrics Gynecology and Reproductive Sciences University of Pittsburgh School of Medicine, 300 Halket Street Suite 3510, Pittsburgh, PA 15215, USA.

PMID: 36822700
DOI: 10.1016/j.ogc.2022.10.016

Abstract

Pain management during labor and delivery is complex and must balance efficacy and toxicity to both the pregnant person and the fetus. There are numerous ways to achieve safe and effective analgesia and anesthesia during labor and delivery, including neuraxial and nonneuraxial techniques. This review describes important anesthetic considerations that should be made when formulating a pain management plan and an overview of common anesthesia-related complications encountered in the obstetric population.

Keywords: Anesthetic complications; Labor analgesia; Pain management; Physiology of pregnancy.

Publication types

Review

MeSH terms

Analgesia, Obstetrical* / methods
Anesthesia, Obstetrical* / methods
Delivery, Obstetric / methods
Female
Humans
Labor, Obstetric*
Pain Management / methods
Pregnancy