BookGiorgio Capogna, editor.
Summary: This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.
Contents:
Physiology of labor
Anatomo-physiological changes during labor and after delivery
Labor pain
Sociology of labor pain
History of labor pain relief
Antenatal consultation, maternal information, expectations and satisfaction
Initiation of labor analgesia: epidural, CSE
Maintenance of labor analgesia
Analgesia during second & third stage, episiotomy, episiotomy repair
Maternal and fetal monitoring during neuraxial labor analgesia
Nutrition and fluid balance during labor; maternal optimization and fetal resuscitation
Analgesia for dystocia and instrumental delivery
Analgesia for induced labor and vaginal birth after cesarean section
Extension of epidural block for cesarean section
Postpartum analgesia and postpartum chronic pain
Effects on neonate and breastfeeding
Neonatal care in labor and delivery room
Technical problems and their solutions
Anti-coagulated parturient and neuraxial analgesia
Complications of neuraxial analgesia
Evidence based medicine and labor analgesia
Ethics
Teaching labor analgesia and simulation
Humanization of labor and epidural analgesia
Medico-legal issues in labor analgesia.