By Giorgio Capogna
This publication bargains an in-depth exam of work soreness and analgesia with the purpose of selling ordinary childbirth with out ache. All elements of the topic are lined, together with the newest options of offering hard work analgesia. Importantly, emphasis is put on a holistic method, distinct cognizance being paid to the humanization of childbirth and behavioral points as well as evidence-based drugs. strength destiny advancements also are addressed, with dialogue of possibilities that experience but to be learned. with a purpose to make sure that the textual content is well readable for trainees in addition to proven practitioners, chapters were constrained to a plausible size and data is gifted in actual fact and succinctly. step by step tutorials and bins highlighting sensible issues are used to elucidate technical elements. The authors contain either well-established specialists and younger rising pros from numerous ecu nations, making sure an intercultural perspective.
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Additional resources for Epidural Labor Analgesia: Childbirth Without Pain
Am J Obstet Gynecol 162:1158–1163 38. Hellgren M, Blomback M (1981) Studies on blood coagulation and fibrinolysis in pregnancy, during delivery and in the puerperium. I. Normal condition. Gynecol Obstet Invest 12:141–154 39. SharmaSK PJ, Wiley J (1997) Thromboelastographic changes in healthy parturients and postpartum women. Anesth Analg 85:94 40. Dahlman T, Hellgren M, Blomback M (1985) Changes in blood coagulation and fibrinolysis in the normal puerperium. Gynecol Obstet Invest 20:37–44 41. Holdsworthh JD (1979) Relationship between stomach contents and analgesia in labor.
While there are no conclusive studies favoring one position for labor, investigators have found that those women who remained in an upright position in labor rather than a recumbent one had a short labor and were less likely to request epidural analgesia  • Immersion in water—the use of birthing pools has been known anecdotally to ease the pain during labor, but the exact mechanism of this is presently unknown. Previous studies have observed that the use of birthing pools is associated with faster labors and a reduced requirement for labor analgesia  as well as a reduced rate of perineal trauma  and obstetric involvement with the delivery .
Cunningham ST, Steinman JL, Whipple B et al (1991) Differential roles of hypogastric and pelvic nerves in the analgesic and motoric effects of vaginocervical stimulation in rats. Brain Res 559(2):337–343 6. Sandner-Kiesling A, Pan HL, Chen SR et al (2002) Effect of kappa opioid agonists on visceral nociception induced by uterine cervical distension in rats. Pain 96(1–2):13–22 7. Owman C (1981) Pregnancy induces degenerative and regenerative changes in the autonomic innervation of the female reproductive tract.