Analgesia, Obstetrical

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the use of relaxation therapies for pain management in labour. OBJECTIVES: To examine the effects of relaxation methods for pain management in labour on maternal and perinatal morbidity.

Author(s): 
Smith, Caroline A.
Levett, Kate M.
Collins, Carmel T.
Crowther, Caroline A.
Publication Title: 
Clinics in Perinatology

A supportive medical team should be well informed on the various pharmacologic and nonpharmacologic modalities of coping with or mitigating labor pain to appropriately support and respectfully care for parturients. Using the methodical rigor of previously published Cochrane systematic reviews, this summary evaluates and discusses the efficacy of nonpharmacologic labor analgesic interventions.

Author(s): 
Arendt, Katherine W.
Tessmer-Tuck, Jennifer A.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the use of alternative and complementary therapies for pain management in labour. OBJECTIVES: To examine the effectiveness of complementary and alternative therapies for pain management in labour on maternal and perinatal morbidity.

Author(s): 
Smith, C. A.
Collins, C. T.
Cyna, A. M.
Crowther, C. A.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Labour is a normal physiological process, but is usually associated with pain and discomfort. Numerous methods are used to relieve labour pain. These include pharmacological (e.g. epidural, opioids, inhaled analgesia) and non-pharmacological (e.g. hypnosis, acupuncture) methods of pain management. Non-opioid drugs are a pharmacological method used to control mild to moderate pain. OBJECTIVES: To summarise the evidence regarding the effects and safety of the use of non-opioid drugs to relieve pain in labour.

Author(s): 
Othman, Mohammad
Jones, Leanne
Neilson, James P.
Publication Title: 
British Journal of Anaesthesia

BACKGROUND: In view of widespread claims of efficacy, we examined the evidence regarding the effects of hypnosis for pain relief during childbirth. METHODS: Medline, Embase, Pubmed, and the Cochrane library 2004.1 were searched for clinical trials where hypnosis during pregnancy and childbirth was compared with a non-hypnosis intervention, no treatment or placebo. Reference lists from retrieved papers and hypnotherapy texts were also examined. There were no language restrictions.

Author(s): 
Cyna, A. M.
McAuliffe, G. L.
Andrew, M. I.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Breech presentation is associated with increased complications. Turning a breech baby to head first presentation using external cephalic version (ECV) attempts to reduce the chances of breech presentation at birth so as to avoid the adverse effects of breech vaginal birth or caesarean section. Interventions such as tocolytic drugs and other methods have been used in an attempt to facilitate ECV.

Author(s): 
Cluver, Catherine
Gyte, Gillian M. L.
Sinclair, Marlene
Dowswell, Therese
Hofmeyr, G. Justus
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: This review is one in a series of Cochrane Reviews investigating pain management for childbirth. These reviews all contribute to an overview of systematic reviews of pain management for women in labour, and share a generic protocol. We examined the current evidence regarding the use of hypnosis for pain management during labour and childbirth. This review updates the findings regarding hypnosis from an earlier review of complementary and alternative therapies for pain management in labour into a stand-alone review.

Author(s): 
Madden, Kelly
Middleton, Philippa
Cyna, Allan M.
Matthewson, Mandy
Jones, Leanne
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Intracutaneous or subcutaneous injection of sterile water is rapidly gaining popularity as a method of pain relief in labour and it is therefore essential that it is properly evaluated. Adequate analgesia in labour is important to women worldwide. Sterile water injection is inexpensive, requires basic equipment, and appears to have few side effects. It is purported to work for labour pain.

Author(s): 
Derry, Sheena
Straube, Sebastian
Moore, R. Andrew
Hancock, Heather
Collins, Sally L.
Publication Title: 
Clinics in Perinatology

A supportive medical team should be well informed on the various pharmacologic and nonpharmacologic modalities of coping with or mitigating labor pain to appropriately support and respectfully care for parturients. Using the methodical rigor of previously published Cochrane systematic reviews, this summary evaluates and discusses the efficacy of nonpharmacologic labor analgesic interventions.

Author(s): 
Arendt, Katherine W.
Tessmer-Tuck, Jennifer A.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the use of alternative and complementary therapies for pain management in labour. OBJECTIVES: To examine the effects of complementary and alternative therapies for pain management in labour on maternal and perinatal morbidity.

Author(s): 
Smith, C. A.
Collins, C. T.
Cyna, A. M.
Crowther, C. A.

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