Share This Article:

Introduction of a New Concept of Pain Management during Labor and a Novel Technique for Pain Free Labor

DOI: 10.4236/ojanes.2012.23019    4,654 Downloads   8,044 Views   Citations
Author(s)    Leave a comment

ABSTRACT

Traditional labor epidural techniques have not been proven to be sufficient to cover the second stage of labor. We have developed a new concept of pain management during labor and a new technique that provides sufficient analgesia for second stage of labor. Combined Spinal Epidural with long lasting saddle block (with hyperbaric tetracaine) was used. Potentially pain free labor could be achieved by using this method. Utilizing hyperbaric Tetracaine intrathecally may provide a long lasting sensory sacral blockade. Primary outcome measure was absence of pain during pushing (2nd stage of labor). Patients received additional comfort during 1st stage of labor. Sample size included all patients that requested labor epidurals since 12/22/11 when this new technique was introduced.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

I. Kozlov and M. Ackert, "Introduction of a New Concept of Pain Management during Labor and a Novel Technique for Pain Free Labor," Open Journal of Anesthesiology, Vol. 2 No. 3, 2012, pp. 79-83. doi: 10.4236/ojanes.2012.23019.

References

[1] J. A. Thomas, P. H. Pan, L. C. Harris, M. D. Owen and R. D’Angelo, “Dural Puncture with a 27-Gauge Whitacre Needle as Part of a combined Spinal-Epidural Technique Does Not Improve Labor Epidural Catheter Function,” Anesthesiology, Vol. 103, No. 5, 2005, pp. 1046-1051.
[2] S. W. Simmons, A. M. Cyna, A. T. Dennis and D. Hughes, “Combined Spinal-Epidural versus Epidural Analgesia in Labour,” Cochrane Database of Systematic Reviews, Vol. 3, 2007, Article ID: CD003401.
[3] E. Cappiello, N. O’Rourke, S. Segal and L. C. Tsen, “A Randomized Trial of Dural Puncture Epidural Technique Compared with the Standard Epidural Technique for Labor Analgesia,” Anesthesia & Analgesia, Vol. 107, No. 5, 2008, pp. 1646-1651.
[4] R. W. Yarnell, D. A. Ewing, E. Tierney and M. H. Smith, “Sacralization of Epidural Block with Repeated Doses of 0.25% Bupivacaine during Labor,” Regional Anesthesia & Pain Medicine, Vol. 15, No. 6, 1990, pp. 275-279.
[5] S. Torvaldsen, C. L. Roberts, J. C. Bell and C. H. RaynesGreenow, “Discontinuation of Epidural Analgesia Late in Labour for Reducing the Adverse Delivery Outcomes Associated with Epidural Analgesia,” Cochrane Database of Systematic Reviews, Vol. 18, No. 4, 2004, Article ID: CD004457. doi:10.1002/14651858.CD004457.pub2
[6] D. Chestnut, “Obstetrical Anesthesia,” 3rd Edition, Mosby, Maryland Heights, 2004.

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.