Nitrous oxide labor analgesia and pain relief memory in breastfeeding women

Abstract

Nitrous oxide labor analgesia is associated with favorable effects on both women's psychoemotional experience of labor and breastfeeding success.

Pharmacologic labour analgesia and its relationship to postpartum psychiatric disorders: a scoping review

“…8,10,21 One study described manually administered boluses of a local anesthetic and opioid solution to maintain labour analgesia. 22 Only one study specified that the labour analgesia may have included a combined spinal-epidural, but the details of the technique were not provided. 23 Types of postpartum psychiatric disorders The primary objective of most studies (11/17) [8][9][10][11]14,[21][22][23][24][25][26][27][28][29] focused on identifying depressed mood and a positive PPD screen.…”

Managing pain and anxiety during transabdominal chorionic villus sampling. A noninferiority randomized trial of nitrous oxide vs local anesthesia

“…5,8,9 Bot-Robin et al underlined that most patients undergoing CVS felt more anxious than those undergoing amniocentesis and that they would have liked some form of pain prevention. We observed that local anesthesia prior to CVS sig- [14][15][16][17][18][19] Interestingly, this mode of analgesia has the advantages of not being invasive, as well as fast onset and offset actions. 10 The International Society of Ultrasound in Obstetrics and Gynecology Guidelines (ISUOG invasive procedures for prenatal diagnosis) suggested that local anesthetics can be used before transabdominal CVS to reduce patient discomfort caused by the use of a larger needle size than used in amniocentesis.…”

“…13 Inhalational analgesia (50% nitrous oxide [N 2 O] with 50% oxygen or N 2 O, for an equimolar mixture of oxygen and N 2 O) is commonly used in obstetrics and gynecology (eg, post delivery procedures, manual removal of placenta, labor). [14][15][16][17][18][19] Interestingly, this mode of analgesia has the advantages of not being invasive, as well as fast onset and offset actions. 20 The use of N 2 O for labor analgesia and anxiolysis is less common in the USA but has gained increasing interest since N 2 O was approved by the Food and Drug Administration (FDA) 16,21 and health authorities in Europe.…”

“…Moreover, N 2 O presents a major advantage of inducing a temporary and reversible hazy memory effect confined to the memories of procedure-related trauma 19,21,29. Moreover, several studies indicate that N 2 O use during labor effectively helps women relax and reduces their perception of pain, even though they may still be aware that pain is present.…”

“…Moreover, several studies indicate that N 2 O use during labor effectively helps women relax and reduces their perception of pain, even though they may still be aware that pain is present. Moreover, N 2 O presents a major advantage of inducing a temporary and reversible hazy memory effect confined to the memories of procedure-related trauma 19,21,29.…”