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Successful Peripartum Use of an Intrathecal Morphine Pump

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DOI: 10.4236/ojanes.2012.25051    4,410 Downloads   6,219 Views  

ABSTRACT

As intrathecal pumps are now widely used for management of pain and spasticity, there are more women of child-bearing age who have intrathecal pumps already implanted at time of conception of their children. There is little in the way of guidelines for how to manage these women, especially those with intrathecal pumps infusing analgesics, throughout pregnancy and after birth. We present a woman who presented at 19 weeks of gestation for consultation of long term pain management, with 3 years of postpartum follow up.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

J. Vuong and J. Eckert, "Successful Peripartum Use of an Intrathecal Morphine Pump," Open Journal of Anesthesiology, Vol. 2 No. 5, 2012, pp. 224-225. doi: 10.4236/ojanes.2012.25051.

References

[1] J. Tarshis, J. E. Zuckerman, N. P. Katz, S. Segal and P. S. Mushlin, “Labour Pain Management in a Parturient with an Implanted Intrathecal Pump,” Canadian Journal of Anaesthesia, Vol. 44, No. 12, 1997, pp. 1278-1281. doi:/10.1007/BF03012776
[2] W. A. Esa, I. Toma, J. E. Tetzlaff and S. Barsoum, “Epidural Analgesia in Labor for a Woman with an Intracthecal Baclofen Pump,” International Journal of Obstetric Anesthesia, Vol. 18, No. 1, 2009, pp. 64-66.
[3] T. F. Oberlander, P. Robeson, V. Ward, R. S. Huckin, A. Kamani, A. Harpur and W. McDonald, “Prenatal and Breast Milk Morphine Exposure following Maternal Intrathecal Morphine Treatment,” Journal of Human Lactation, Vol. 16, No. 2, 2000, pp. 137-142. doi:/10.1177/089033440001600210
[4] P. Dalal, “Anesthesia and the Breastfeeding Mother: To Breast Feed or Not—That Is the Question!” Anesthesia Grand Rounds Lecture, Hershey Medical Center, Hershey, 12 January 2012.

  
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