Post-cesarean delivery analgesia.

Journal Article (Journal Article;Review)

Post-cesarean delivery pain relief is important. Good pain relief will improve mobility and can reduce the risk of thromboembolic disease, which is increased during pregnancy. Pain may also impair the mother's ability to optimally care for her infant in the immediate postpartum period and may adversely affect early interactions between mother and infant. Pain and anxiety may also reduce the ability of a mother to breast-feed effectively. It is necessary that pain relief be safe and effective, that it not interfere with the mother's ability to move around and care for her infant, and that it result in no adverse neonatal effects in breast-feeding women. The most commonly used modalities are systemic administration of opioids, either by intramuscular injection or i.v. by patient-controlled analgesia, and neuraxial injection of opioid as part of a regional anesthetic for cesarean delivery. These techniques have specific advantages and disadvantages which will be discussed in this review. In addition, there are new drug applications of potential benefit for the treatment of post-cesarean delivery pain.

Full Text

Duke Authors

Cited Authors

  • Gadsden, J; Hart, S; Santos, AC

Published Date

  • November 2005

Published In

Volume / Issue

  • 101 / 5 Suppl

Start / End Page

  • S62 - S69

PubMed ID

  • 16334493

International Standard Serial Number (ISSN)

  • 0003-2999

Digital Object Identifier (DOI)

  • 10.1213/01.ANE.0000177100.08599.C8


  • eng

Conference Location

  • United States