2015, Number 4
Rev Mex Anest 2015; 38 (4)
Ramírez-Paesano C, Tovar-Correa L, Rivera R
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ABSTRACTNeuraxial analgesia is the most effective technique available for pain control during labor; however, the optimal time of administration is still controversial. Several studies suggest to start epidural analgesia at 4-5 cm of cervical dilation; however, recent randomized clinical trials have shown that an appropriate neuraxial analgesia technique at early stages of the latent phase of labor provides multiple benefits associated with greater maternal satisfaction, feto-maternal security and time reduction of the first period. The current understanding about the nociceptive pathways involved in the different stages of labor, has allowed to develop different analgesic schemes for relief of labor pain very early, facilitating its progression. Therefore, it is considered the proper indication for analgesia the patient requirement for pain relieve and it is not any cervical dilatation.