The Effects on the Fetus of Early Versus Late Regional Analgesia

Cynthia A Wong

doi:10.1002/9781118477076.ch29

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Book chapter

The Effects on the Fetus of Early Versus Late Regional Analgesia

Cynthia A Wong

Anesthesia and the Fetus, pp.270-276

Wiley‐Blackwell

01/20/2013

DOI: 10.1002/9781118477076.ch29

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Abstract

Early initiation of neuraxial labor analgesia has no known adverse fetal or neonatal effects. It may reduce reliance on systemic opioid analgesia, a technique that is associated with a decrease in fetal heart rate variability and increase in neonatal depression. Whether there are positive or negative effects of early versus late initiation of analgesia on the incidence of neuraxial analgesia‐associated fetal bradycardia and maternal fever requires further study.

analgesia, epidural

analgesics, opioid

Anesthesia, obstetrical

fetus

infant, newborn

injections, spinal

labor pain

labor, obstetric

local anesthetics

obstetric labor complications

Details

Title: Subtitle: The Effects on the Fetus of Early Versus Late Regional Analgesia
Creators: Cynthia A Wong - Northwestern University
Contributors: Yehuda Ginosar (Editor) - Hadassah Hebrew University Medical Center, Jerusalem, Israel
Felicity Reynolds (Editor) - Dental Schools of Guy's and St Thomas' Hospitals, London, UK
Stephen Halpern (Editor) - Obstetrical Anesthesia, Sunnybroook Health Sciences Centre, Toronto, Ontario, Canada
Carl P Weiner (Editor) - University of Kansas
Resource Type: Book chapter
Publication Details: Anesthesia and the Fetus, pp.270-276
DOI: 10.1002/9781118477076.ch29
Publisher: Wiley‐Blackwell; Oxford, UK
Number of pages: 7
Language: English
Date published: 01/20/2013
Academic Unit: Anesthesia
Record Identifier: 9984296144402771

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