Abstract

MACENDO AMARAL, Hudson Rodrigo et al. Effects of fetal and maternal obstetrical analgesia: an integrative review. av.enferm. [online]. 2015, vol.33, n.2, pp.282-294. ISSN 0121-4500.  https://doi.org/10.15446/av.enferm.v33n2.52176.

Today, epidural analgesia in obstetrics is still a topic fraught with controversy in the scientific field, due to the wide range of schemes available analgesics schemes. Objective: To identify maternal and fetal effects of the use of analgesia during parturition, to relate the most common used drugs, dosages and criteria for safe indication, as well as to analyze the effects of analgesia on mother and fetus. Methodology: This is an integrative review of 21 publications available in the databases lilacs and SciELO, using the descriptors parturition, humanized delivery, natural childbirth, obstetrical analgesia, and epiduralanalgesia in the period 1995-2011. Results: In regard to the frequency and percentage of studies of epidural analgesia in the conduct of labor according the type of block, there was increased use of epidural technique (28,6%) and continuous epidural technique (14.3%). In relation to the drugs used in the main groups, it was observed predominantly use of sufentanil (33.3%) and bupivacaine (28.6%) in different concentrations and their baricity. The most common adverse effects were pruritus, nausea and hypotension. As the fetal repercussions, there was a higher rate of fetal acidosis related to bupivacaine. Conclusions: The scientific development in the area contributes to a more individualized humanized obstetric practice.

Keywords : Analgesia; Obstetrical; Analgesia; Epidural; Natural Childbirth.

        · abstract in Portuguese | Spanish     · text in Portuguese     · Portuguese ( pdf )