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Adamyan L.V.

Department of Reproductive Medicine and Surgery, Faculty of Postgraduate Professional Education, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow, Russia

Artymuk N.V.

kafedra akusherstva i ginekologii #2 Kemerovskoĭ gosudarstvennoĭ meditsinskoĭ akademii

Belokrinitskaia T.E.

Kafedra akusherstva i ginekologii fakul'teta povysheniia kvalifikatsii i poslediplomnoĭ podgotovki spetsialistov Chitinskoĭ gosudarstvennoĭ meditsinskoĭ akademii

Kulikov A.V.

Ovezov A.M.

MONIKI, Moscow, Russia

Petrukhin V.A.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Protsenko D.N.

GBUZ «City clinical hospital named after S.S. Yudin» of Moscow health department, Moscow, Russia;
FGBOU VO «Russian national research medical University named after N.I. Pirogov» of Ministry of health of Russia, Moscow, Russia

Upriamova E.Iu.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Filippov O.S.

Departament razvitiia meditsinskoĭ pomoshchi detiam i sluzhby rodovspomozheniia Ministerstva zdravookhraneniia i sotsial'nogo razvitiia Rossiĭskoĭ Federatsii, Moskva

Shifman E.M.

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

Neuroxial methods of labor analgesia. Clinical guidelines

Authors:

Adamyan L.V., Artymuk N.V., Belokrinitskaia T.E., Kulikov A.V., Ovezov A.M., Petrukhin V.A., Protsenko D.N., Upriamova E.Iu., Filippov O.S., Shifman E.M.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2018;(5): 99‑110

DOI: 10.17116/anaesthesiology201805199

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Table of contents

NEUROXIAL METHODS OF LABOR ANALGESIA. CLINICAL GUIDELINES
NEUROXIAL METHODS OF LABOR ANALGESIA. CLINICAL GUIDELINES

To cite this article:

Adamyan LV, Artymuk NV, Belokrinitskaia TE, et al. . Neuroxial methods of labor analgesia. Clinical guidelines. Russian Journal of Anesthesiology and Reanimatology. 2018;(5):99‑110. (In Russ.)
https://doi.org/10.17116/anaesthesiology201805199

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Abstract:

At present, the problem of analgesia of delivery and labor is an important aspect of obstetrics which has a significant impact on the process, quality, outcome and cost of medical support of childbirth. From these pont of view, the effectiveness and safety of anesthetic management during the delivery is one of the most urgent problems. It is based on adequate analgesia and its good manageability, lack of influence on the labor itself, and lack of adverse effects on the mother and fetus. Neuroaxial methods are the most flexible and effective methods that have the least depressing effect on the central nervous system of the fetus and newborn (ASA and ACOG) among pharmacological methods of labor anesthesia used at present. The purpose of these clinical guidelines is to summarize current data on neuroaxial methods of labor analgesia: they include recommendations for the diagnosis of pain intensity during labor, the choice of neuroaxial analgesia and local anesthetic, and characteristic of its implementation, as well as prevention of anesthesiological complications in labor.

Keywords:

labor
preterm labor
labor analgesia
neuroaxial analgesia
epidural analgesia
spinal analgesia
combined spinal-epidural analgesia

Authors:

Adamyan L.V.

Department of Reproductive Medicine and Surgery, Faculty of Postgraduate Professional Education, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow, Russia

Artymuk N.V.

kafedra akusherstva i ginekologii #2 Kemerovskoĭ gosudarstvennoĭ meditsinskoĭ akademii

Belokrinitskaia T.E.

Kafedra akusherstva i ginekologii fakul'teta povysheniia kvalifikatsii i poslediplomnoĭ podgotovki spetsialistov Chitinskoĭ gosudarstvennoĭ meditsinskoĭ akademii

Kulikov A.V.

Ovezov A.M.

MONIKI, Moscow, Russia

Petrukhin V.A.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Protsenko D.N.

GBUZ «City clinical hospital named after S.S. Yudin» of Moscow health department, Moscow, Russia;
FGBOU VO «Russian national research medical University named after N.I. Pirogov» of Ministry of health of Russia, Moscow, Russia

Upriamova E.Iu.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Filippov O.S.

Departament razvitiia meditsinskoĭ pomoshchi detiam i sluzhby rodovspomozheniia Ministerstva zdravookhraneniia i sotsial'nogo razvitiia Rossiĭskoĭ Federatsii, Moskva

Shifman E.M.

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

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