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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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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

List of references:

  1. WHO recommendations Intrapartum care for a positive childbirth experience-2018;200.
  2. Lim G, Facco FL, Nathan N, Waters JH, Wong CA, et al. A Review of the impact of obstetric anesthesia on maternal and neonatal outcomes. Anesthesiology. 2018 Mar 21. https://doi.org/10.1097/ALN.0000000000002182
  3. Albrechtsen CK, Ekelund K, Bang U. Advanced labour pain relief. Ugeskr Laeger. 2017 Jun 26;179(26).
  4. Markley JC, Rollins MD. Non-Neuraxial Labor Analgesia: Options. Clin Obstet Gynecol. 2017 Jun;60(2):350-364. https://doi.org/10.1097/GRF.0000000000000277
  5. Wall and Melzack’s textbook of pain. Ed. McMahon SB. 6th ed. Elsevier Ltd. 2013;1153.
  6. David H. Chestnut’s Obstetric anesthesia: principles and practice. Chestnut e al. 5th ed. Elsevier Science. 2014;1304:1.
  7. Suresh M. (ed.), et al. Shnider and Levinson’s anesthesia for obstetrics.5th ed. Lippincott Williams & Wilkins. 2013;861.
  8. Clark V, Van de Velde M, Fernando R. et al. Oxford Textbook of Obstetric Anaesthesia. Oxford University Press. 2016;987.
  9. Hensley JG, Collins MR, Leezer CL. Pain Management in Obstetrics. Crit Care Nurs Clin North Am. 2017 Dec;29(4):471-485. https://doi.org/10.1016/j.cnc.2017.08.007
  10. Kelly A, Tran Q. The optimal pain management approach for a laboring patient: a review of current literature. Cureus. 2017 May 10;9(5):e1240. https://doi.org/10.7759/cureus.1240
  11. Committee on Obstetric Practice. Committee Opinion No. 687: Approaches to Limit Intervention During Labor and Birth. Obstet Gynecol. 2017 Feb; 129(2):e20-e28.
  12. Arendt KW, Tessmer-Tuck JA. Nonpharmacologic labor analgesia. Clin Perinatol. 2013 Sep;40(3):351-371. https://doi.org/10.1016/j.clp.2013.05.007
  13. Koyyalamudi V, Sidhu G, Cornett EM, Nguyen V, Labrie-Brown C, et al. New Labor Pain Treatment Options. Curr Pain Headache Rep. 2016 Feb; 20(2):11. https://doi.org/10.1007/s11916-016-0543-2
  14. Bohren MA, Hofmeyr GJ, Sakala C, Fukuzawa RK, Cuthbert A. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2017 Jul 6;7:CD003766. https://doi.org/10.1002/14651858.CD003766.pub6
  15. Ortiz-Gómez JR, Palacio-Abizanda FJ, Fornet-Ruiz I. Analgesic techniques for labour: alternatives in case of epidural failure. An Sist Sanit Navar. 2014 Sep-Dec;37(3):411-427.
  16. Meng ML, Smiley R. Modern Neuraxial Anesthesia for Labor and Delivery. F1000. Res. 2017 Jul 25;6:1211. https://doi.org/10.12688/f1000research.11130.1
  17. Committee on Practice Bulletins—Obstetrics. Practice Bulletin No. 177: Obstetric Analgesia and Anesthesia. Obstet Gynecol. 2017 Apr;129(4):e73-e89. https://doi.org/10.1097/AOG.0000000000002018
  18. Sng BL, Sia ATH. Maintenance of epidural labour analgesia: The old, the new and the future. Best Pract Res Clin Anaesthesiol. 2017 Mar;31(1):15-22. https://doi.org/10.1016/j.bpa.2017.01.002
  19. Jochberger S, Ortner C, Klein KU. Pain therapy during labour. Wien Med Wochenschr. 2017 Nov;167(15-16):368-373. https://doi.org/10.1007/s10354-017-0571-5
  20. Practice Guidelines for Obstetric Anesthesia: An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology. Anesthesiology. 2016 Feb;124(2):270-300. https://doi.org/10.1097/ALN.0000000000000935
  21. Duale C, Nicolas-Courbon A, Gerbaud L, Lemery D, Bonnin M, Pereira B. Maternal satisfaction as an outcome criterion in research on labor analgesia: data analysis from the recent literature. Clin J Pain. 2015;31:235-246. https://doi.org/10.1097/AJP.0000000000000106
  22. Flood P, Rollins MD. Anesthesia for obstetrics. In: Millers R, Cohen NH, Eriksson LI, Fleisher LA, Wiener Kronish JP, Young WL, editors. Miller’s Anesthesia. 8th ed. Canada: Saunders Elsevier; 2015;2328-2358.
  23. Prezhdevremennye rody. Klinicheskie rekomendacii (protokol) utverzhdennye Minzdravom Rossii №15-4/10/2-9480 ot 13.12.13. M. 2014; 35. (In Russ.)
  24. Wong CA. Epidural and spinal analgesia/anesthesia for labor and vaginal delivery. In: Chestnut DH, Wong CA, Tsen LC, Ngankee WD, Beilin Y, Mhyre JM, Nathan N, et al., editors. Chestnutʹs Obstetric Anesthesia: Principles and Practice. 5th ed. China: Saunders Elsevier; 2014;457-517.
  25. Cambic CR, Wong CA. Labour analgesia and obstetric outcomes. Br J Anaesth. 2010;105:i50.60. https://doi.org/10.1093/bja/aeq311
  26. Capogna G, Stirparo S. Techniques for the maintenance of epidural labor analgesia. Curr Opin Anaesthesiol. 2013 Jun;26(3):261-267. https://doi.org/10.1097/ACO.0b013e328360b069
  27. van Erp M, Ortner C, Jochberger S, Klein KU. Recent standards in management of obstetric anesthesia. Wien Med Wochenschr. 2017 Nov;167(15-16): 374-389. https://doi.org/10.1007/s10354-017-0584-0
  28. Onuoha OC. Epidural analgesia for labor: continuous infusion versus programmed intermittent bolus. Anesthesiol Clin. 2017 Mar;35(1):1-14. https://doi.org/10.1016/j.anclin.2016.09.003
  29. Carvalho B, George RB, Cobb B, McKenzie C, Riley ET. Implementation of programmed intermittent epidural bolus for the maintenance of labor analgesia. Anesth Analg. 2016 Oct;123(4):965-971. https://doi.org/10.1213/ANE.0000000000001407
  30. Kocarev M, Khalid F, Khatoon F, Fernando R. Neuraxial labor analgesia: a focused narrative review of the 2017 literature. Curr Opin Anaesthesiol. 2018 Mar 14. https://doi.org/10.1097/ACO.0000000000000595
  31. Chau A, Bibbo C, Huang CC, Elterman KG, Cappiello EC, et al. Dural puncture epidural technique improves labor analgesia quality with fewer side effects compared with epidural and combined spinal epidural techniques: a randomized clinical trial. Anesth Analg. 2017 Feb;124(2):560-569. https://doi.org/10.1213/ANE.0000000000001798
  32. Hill JB, Ammons A, Chauhan SP. Vaginal birth after cesarean delivery: comparison of ACOG practice bulletin with other national guidelines. Clin Obstet Gynecol. 2012 Dec;55(4):969-977. https://doi.org/10.1097/GRF.0b013e3182708a60
  33. Ting-Ting Wang, Shen Sun, Shao-Qiang Huang. Effects of epidural labor analgesia with low concentrations of local anesthetics on obstetric outcomes: a systematic review and metaanalysis of randomized controlled trials. Anesth Analg. 2017;124:1571-1580. https://doi.org/10.1213/ANE.0000000000001709
  34. Sultan P, Murphy C, Halpern S, Carvalho B. The effect of low concentrations versus high concentrations of local anesthetics for labour analgesia on obstetric and anesthetic outcomes: a metaanalysis. Can J Anaesth. 2013;60:840-854. https://doi.org/10.1007/s12630-013-9981-z
  35. Kemp E, Kingswood CJ, Kibuka M, Thornton JG. Position in the second stage of labour for women with epidural anaesthesia. Cochrane Database Syst Rev. 2013 Jan. https://doi.org/10.1002/14651858.CD008070.pub2
  36. Kibuka M, Thornton JG. Position in the second stage of labour for women with epidural anaesthesia. Cochrane Database Syst Rev. 2017 Feb 24;2: CD008070.
  37. Okazanie meditsinskoj pomoshhi pri odnoplodnykh rodakh v zatylochnom predlezhanii (bez oslozhnenij) i v poslerodovom periode. Klinicheskie rekomendatsii (protokol) utverzhdennye Minzdravom Rossii №15-4/10/2-3185 ot 27.05.14. M. 2014; 27. (In Russ.)
  38. Marucci M, Fiore T. Epidural analgesia for labour and delivery. Currentevidence. Minerva Anesthesiol. 2004;70:643-650.
  39. Leveno KJ, Nelson DB, McIntire DD. Second-stage labor: how long is too long? Am J Obstet Gynecol. 2016 Apr;214(4):484-489. https://doi.org/10.1016/j.ajog.2015.10.926
  40. Jung H, Kwak KH. Neuraxial analgesia: a review of its effects on the outcome and duration of labor. Korean J Anesthesiol. 2013 Nov;65(5):379-384. https://doi.org/10.4097/kjae.2013.65.5.379
  41. Grant EN, Tao W, Craig M, McIntire D, Leveno K. Neuraxial analgesia effects on labour progression: facts, fallacies, uncertainties and the future. BJOG. 2015 Feb;122(3):288-293.
  42. Wang TT, Sun S, Huang SQ. Effects of epidural labor analgesia with low concentrations of local anesthetics on obstetric outcomes: a systematic review and metaanalysis of randomized controlled trials. Anesth Analg. 2017 May;124(5):1571-1580. https://doi.org/10.1213/ANE.0000000000001709
  43. Shifman EM, Filippovich GV. Oslozhneniya nejroaksial'nykh metodov obezbolivaniya v akusherstve: tridtsat' voprosov i otvetov. Regionarnaya anesteziya i lechenie ostroj boli. 2006;1(0):35-53.(In Russ.)
  44. Hoefnagel A, Yu A, Kaminski A. Anesthetic complications in pregnancy. Crit Care Clin. 2016 Jan;32(1):1-28. https://doi.org/10.1016/j.ccc.2015.08.009
  45. Maronge L, Bogod D. Complications in obstetric anaesthesia. Anaesthesia. 2018 Jan;73 Suppl 1:61-66. https://doi.org/10.1111/anae.14141
  46. Kinsella SM, Carvalho B, Dyer RA, Fernando R, McDonnell N, et al. International consensus statement on the management of hypotension with vasopressors during caesarean section under spinal anaesthesia. Anaesthesia. 2018 Jan;73(1):71-92. https://doi.org/10.1111/anae.14080
  47. Guidelines for neuraxial anesthesia in obstetrics ASA House of Delegates on October 12, 1988, and last amended on October 16, 2013.
  48. Leffert L, Butwick A, Carvalho B, Arendt K, Bates SM, et al. Members of the SOAP VTE Taskforce. The society for obstetric anesthesia and perinatology consensus statement on the anesthetic management of pregnant and postpartum women receiving thromboprophylaxis or higher dose anticoagulants. Anesth Analg. 2017 Nov. https://doi.org/10.1213/ANE.0000000000002530
  49. Keeling D, Tait RC, Watson H; British Committee of Standards for Haematology. Peri-operative management of anticoagulation and antiplatelet therapy. Br J Haematol. 2016 Nov;175(4):602-613.29. https://doi.org/10.1111/bjh.14344.

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