bannerHON
img
HONnews
HONnews
img PATIENT / PARTICULIER img PROFESSIONNEL DE SANTE img WEBMESTRE img
img
 
img
HONcode sites
All Web sites
HONselect
News
Conferences
Images

Themes:
A B C D E F G H I
J K L M N O P Q
R S T U V W X Y Z
Browse archive:
2014: S A J J M A M F J
2013: D N O S

 
  Other news for:
Labor
Pain
Pregnancy
 Resources from HONselect
Epidural May Beat Patient-Controlled Painkiller for Childbirth, Study Finds
Although epidurals provided more pain relief, other methods may still work for some women, experts said

By Randy Dotinga

MONDAY, Feb. 3, 2014 (HealthDay News) -- Epidurals are better pain relievers during labor than patient-controlled doses of a fast-acting painkiller called remifentanil, new research suggests.

The Dutch study is scheduled for presentation Friday at the annual meeting of the Society for Maternal-Fetal Medicine in New Orleans.

In a meeting news release, study author Dr. Liv Freeman, of Leiden University Medical Center, said pain relief during childbirth was "significantly better" for patients who received epidurals compared to those who received remifentanil.

At issue is pain during labor, which often is alleviated through the use of epidural pain relief. The study tested an alternative approach using remifentanil, a short-acting pain reliever, since some studies suggest it works as well as epidurals.

Remifentanil works quickly and wears off quickly, according to the Society for Maternal-Fetal Medicine, so patients can control how much they take intravenously, adjusting levels every few minutes if needed.

In the new study, researchers surveyed several hundred Dutch women who received pain relief during vaginal birth after being randomly assigned to get an epidural or the painkilling drug.

Those who received epidurals tended to report more pain relief than those who received the self-administered painkiller, and 13 percent actually switched to an epidural after initially taking the drug, Freeman's team said.

One expert said the study supplies valuable new information.

"Previous studies looking at patient-controlled [painkillers] in labor have been inconclusive due to small sample sizes," said Dr. Keith Eddleman, director of obstetrics at Mount Sinai Hospital in New York City. "This study had a large number of patients and shows decisively that epidurals provide more patient satisfaction than patient-controlled [painkillers] in laboring women."

That doesn't mean epidurals are for everyone, however, since "even in the patient-controlled [painkiller] group, pain satisfaction was reasonable," Eddleman said.

"This may be important information in centers where epidural anesthesia is not readily available," he said. "In centers where both are available, patients can use this data to make an informed decision about pain relief given their individual situation."

Experts note that findings presented at medical meetings typically are considered preliminary until published in a peer-reviewed journal.

More information

There's more on pain relief during childbirth at the March of Dimes .

SOURCES: Keith Eddleman, M.D., director, obstetrics, Mount Sinai Hospital, New York City; Society for Maternal-Fetal Medicine, press release, Feb. 3, 2014

Copyright © 2014 HealthDay. All rights reserved. URL:http://consumer.healthday.com/Article.asp?AID=684354

Resources from HONselect: HONselect is the HON's medical search engine. It retrieves scientific articles, images, conferences and web sites on the selected subject.
Pain
Women
Personal Satisfaction
Anesthesia, Epidural
The list of medical terms above are retrieved automatically from the article.

Disclaimer: The text presented on this page is not a substitute for professional medical advice. It is for your information only and may not represent your true individual medical situation. Do not hesitate to consult your healthcare provider if you have any questions or concerns. Do not use this information to diagnose or treat a health problem or disease without consulting a qualified healthcare professional.
Be advised that HealthDay articles are derived from various sources and may not reflect your own country regulations. The Health On the Net Foundation does not endorse opinions, products, or services that may appear in HealthDay articles.


Home img About us img MediaCorner img HON newsletter img Site map img Ethical policies img Contact