Update on best available options in obstetrics anaesthesia: perinatal outcomes, side effects and maternal satisfaction. Fifteen years systematic literature review

Abstract

No significant differences occurred among all the available administration schemes of neuraxial analgesia. In absence of obstetrical contraindication, neuraxial analgesia has to be considered as the gold standard in obtaining maternal pain relief during labour. The options available in the administration of analgesia should be known and evaluated together by both gynaecologists and anaesthesiologists to choose the best personalized scheme and obtain the best women satisfaction. Since it is difficult to identify comparable circumstances during labour, it is complicate to standardize drugs schemes and their combinations.

Retrospective study of the association between epidural analgesia during labour and complications for the newborn

“…Various adverse effects of epidural analgesia have been described (Leighton and Halpern, 2002;Reynolds, 2011;Mousa et al, 2012;Gizzo et al, 2014). A direct pharmacological effect on the newborn has been reported, attributable to placental transference of the maternally-administered drug, as well as indirect effects due to physiological changes induced in the mother by the drug, including hormonal changes and increases in blood pressure and body temperature.…”

Cumplimiento de analgesia peridural solicitada versus administrada en partos vaginales, durante el periodo 2014-2016 en el Hospital Hernán Henriquez Aravena.

“…(6) La analgesia epidural es la técnica más segura y eficaz, y es el estándar de oro en el tratamiento del dolor durante este período. (7,8 …”

Maternal parameters in lower segment caesarean section: a comparative study of the effects of spinal anaesthetic agents

“…Spinal anaesthesia provides reliable intraoperative anaesthesia and good quality postoperative analgesia. 4 In LSCS regional anaesthesia is preferred than general anaesthesia. 5 General anaesthesia has lot of maternal and foetal risks.…”