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July 1, 2015The Obstetrician & Gynaecologist

Analgesia for labour: an evidence‐based insight for the obstetrician

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Key result

Epidural analgesia remains the most effective form of pain relief for labour, while intramuscular diamorphine is a better analgesic than pethidine.

Why the study?

What are the safe and effective options for analgesia in labour?

Population

Women in labour

Design

Review

Authors

DADjavid AlleemudderSalisbury District HospitalYKYemi KuponiyiCKCharlotte KuponiyiPrincess Royal University Hospital

Discussion

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Implication

Supports epidural as first-line labour analgesia and diamorphine over pethidine; confirms RCT evidence for obstetric guidelines.

Structured PICO

What are the safe and effective options for analgesia in labour?

P
Population
Women in labour
I
Intervention
Various analgesia options including non-pharmacological methods, intramuscular diamorphine, remifentanil patient-controlled analgesia, and epidural analgesia
O
Outcome
Pain relief and patient satisfaction

Epidural analgesia remains the most effective pain relief for labour, while diamorphine is superior to pethidine and remifentanil PCA offers an alternative despite safety concerns.

Limitations

  • Continued lack of any high-powered randomised controlled trials for non-pharmacological options
  • Safety concerns regarding remifentanil patient-controlled analgesia

Cite This Study

Alleemudder et al. (2015) conducted a review in Labour pain. Analgesia for labour was evaluated. Epidural analgesia remains the most effective form of pain relief for labour, while intramuscular diamorphine is a better analgesic than pethidine.

synapsesocial.com/papers/6a656f99ef090507bbf0c9e3https://doi.org/10.1111/tog.12196
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