Analgesia, Obstetrical

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. This review updates an earlier version of the review of the same title. OBJECTIVES: To examine the effectiveness and safety of hypnosis for pain management during labour and childbirth.

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

BACKGROUND: The pain that women experience during labour is affected by multiple physiological and psychosocial factors and its intensity can vary greatly.  Most women in labour require pain relief. Pain management strategies include non-pharmacological interventions (that aim to help women cope with pain in labour) and pharmacological interventions (that aim to relieve the pain of labour). OBJECTIVES: To summarise the evidence from Cochrane systematic reviews on the efficacy and safety of non-pharmacological and pharmacological interventions to manage pain in labour.

Author(s): 
Jones, Leanne
Othman, Mohammad
Dowswell, Therese
Alfirevic, Zarko
Gates, Simon
Newburn, Mary
Jordan, Susan
Lavender, Tina
Neilson, James P.
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: 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.
Publication Title: 
BJOG: an international journal of obstetrics and gynaecology

BACKGROUND: Acupuncture is frequently used for pain relief in labour, but the evidence is not clear. OBJECTIVES: To critically evaluate the evidence for or against acupuncture for labour pain management. SEARCH STRATEGY: Nineteen electronic databases, including English, Korean, Japanese, and Chinese databases, were systematically searched. SELECTION CRITERIA: All randomised controlled trials (RCTs) involving women receiving acupuncture alone, or as an adjunct to conventional analgesia, for pain relief in labour were considered.

Author(s): 
Cho, S.-H.
Lee, H.
Ernst, E.
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: 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 evidence supporting the use of acupuncture and acupressure for pain management in labour. OBJECTIVES: To examine the effects of acupuncture and acupressure for pain management in labour.

Author(s): 
Smith, Caroline A.
Collins, Carmel T.
Crowther, Caroline A.
Levett, Kate M.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: The pain that women experience during labour is affected by multiple physiological and psychosocial factors and its intensity can vary greatly.  Most women in labour require pain relief. Pain management strategies include non-pharmacological interventions (that aim to help women cope with pain in labour) and pharmacological interventions (that aim to relieve the pain of labour). OBJECTIVES: To summarise the evidence from Cochrane systematic reviews on the efficacy and safety of non-pharmacological and pharmacological interventions to manage pain in labour.

Author(s): 
Jones, Leanne
Othman, Mohammad
Dowswell, Therese
Alfirevic, Zarko
Gates, Simon
Newburn, Mary
Jordan, Susan
Lavender, Tina
Neilson, James P.
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: 
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.

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