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Colegio de Medicos y Cirujanos República de Costa Rica

2015, Number 616

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Rev Med Cos Cen 2015; 72 (616)

Analgesia para labor de parto

Cochaud NC, Rodríguez MR

Language: Spanish
References: 22
Page: 561-567
PDF size: 174.22 Kb.


ABSTRACT

Regional analgesia has become the most widespread method of pain relief used during labor. Epidural and spinal analgesia are two most common types of regional analgesia used for this indication. With epidural analgesia, an indwelling catheter is directed into the epidural space, and the patient receives a continuous infusion or multiple injections of local anesthetic. Spinal injections are usually single injections into the intrathecal space. A combination of epidural and spinal analgesia, known as a walking epidural, is also available. This technique combines the rapid pain relief from the spinal regional block with the constant and consistent effects from the epidural block. It allows sufficient motor function for patients to ambulate. Complications with regional analgesia are uncommon, but may include postdural puncture headache. Rare serious complications include neurologic injury, epidural hematoma, or deep epidural infection. Continuous labor support, systemic opioid analgesia, pudendal blocks, water immersion, sterile water injections into the lumbosacral spine, self-taught hypnosis, and acupuncture are other less used options for pain management during labor.


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