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Obstetric Pain 

Obstetric Pain
Chapter:
Obstetric Pain
Author(s):

Hans P. Sviggum

and Adam K. Jacob

DOI:
10.1093/med/9780190217518.003.0021
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date: 20 August 2019

This chapter on obstetric pain reviews the complex pathophysiologic processes of pain transmission and perception experienced by women throughout pregnancy, management of pain in the peripartum period, and how preexisting chronic pain or opioid use affects the care of parturients. It discusses mechanisms of pain; common pain pathways; and factors influencing the perception of pain during pregnancy, labor, and delivery. It compares the benefits and adverse effects of current strategies for managing maternal pain during labor and after delivery. Finally, it reviews maternal and fetal effects of peripartum pain management in opiate- and non-opiate-dependent mothers.

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