Nitrous Oxide for the Management of Labor Pain: A Systematic Review

@article{Likis2014NitrousOF,
  title={Nitrous Oxide for the Management of Labor Pain: A Systematic Review},
  author={F. Likis and J. Andrews and M. Collins and Rashonda M Lewis and J. J. Seroogy and S. Starr and R. Walden and M. McPheeters},
  journal={Anesthesia \& Analgesia},
  year={2014},
  volume={118},
  pages={153–167}
}
BACKGROUND:We systematically reviewed evidence addressing the effectiveness of nitrous oxide for the management of labor pain, the influence of nitrous oxide on women’s satisfaction with their birth experience and labor pain management, and adverse effects associated with nitrous oxide for labor pain management. METHODS:We searched the MEDLINE, EMBASE, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases for articles published in English. The study population included… Expand

Paper Mentions

Interventional Clinical Trial
Systematic opioids and inhaled nitrous oxide (N2O ) are common methods for pain relief during labor. The aim of the current study is to evaluate the efficacy of systemic pethidine… Expand
ConditionsLabor Pain
InterventionDrug
Interventional Clinical Trial
This study seeks to determine the effectiveness of nitrous oxide in reducing the anxiety and pain associated with external cephalic version (ECV); a maneuver to turn the fetus from… Expand
ConditionsExternal Cephalic Version
InterventionDrug, Other
Nitrous oxide labor analgesia and pain relief memory in breastfeeding women
TLDR
Nitrous oxide labor analgesia is associated with favorable effects on both women’s psychoemotional experience of labor and breastfeeding success and was associated with a lasting positive labor pain relief experience. Expand
Nitrous Oxide During Labor: Maternal Satisfaction Does Not Depend Exclusively on Analgesic Effectiveness
TLDR
Patients who received nitrous oxide alone were as likely to express satisfaction with anesthesia care as those who received neuraxial analgesia, even though they were less likely to report excellent analgesia. Expand
Nitrous oxide for labor analgesia: Utilization and predictors of conversion to neuraxial analgesia.
TLDR
Only a small number of women opted to use nitrous oxide during labor, analgesia was minimal, and most converted to neuraxial analgesia, but women with induced and augmented labors should be counseled about the increased likelihood that they will convert to neurAXial analgesIA. Expand
Nitrous Oxide Use During Labor: Satisfaction, Adverse Effects, and Predictors of Conversion to Neuraxial Analgesia.
TLDR
Understanding predictors of conversion from inhaled N2 O to neuraxial analgesia may assist perinatal care providers in their discussions with women about analgesia options during labor. Expand
Initiating Intrapartum Nitrous Oxide in an Academic Hospital: Considerations and Challenges Symbol
TLDR
The challenges that occurred during the process of initiating nitrous oxide for pain management during childbirth at an academic medical center are described and various committee roles are discussed. Expand
Inhaled Nitrous Oxide Analgesia for Labor
TLDR
Inhaled nitrous oxide offers a safe and effective means for labor analgesia for many women, and maternal satisfaction is not as dependent on effective pain relief as with neuraxial analgesia. Expand
A Nurse-Directed Model for Nitrous Oxide Use During Labor
TLDR
This quality improvement project involved development and implementation of a nurse-driven, self-administered, demand-flow nitrous oxide program as an option for pain relief for laboring women in a rural community hospital. Expand
Patient-controlled epidural analgesia is superior to nitrous oxide inhalation in controlling childbirth pain
Objectives: To compare the effects of different labor analgesia in controlling childbirth pain and seek more effective and reliable pain management strategy during natural childbirth in order toExpand
Nitrous oxide analgesia for external cephalic version: A randomized controlled trial.
TLDR
Despite the desirable properties of nitrous oxide, there was no analgesic benefit over oxygen for external cephalic version for breech presentation and its routine use for these procedures was not supported. Expand
Nitrous oxide for pain management of first-trimester instrumental termination of pregnancy under local anaesthesia and/or minimal sedation: A systematic review and meta-analysis.
TLDR
N2O/O2 reduces the pain of FTOPL, and could be recommended inFTOPL. Expand
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Nitrous oxide is not a potent labor analgesic, but it is safe for parturient women, their newborns, and health care workers in attendance during its administration and appears to provide adequately effective analgesia for many women. Expand
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The data indicate that using nitrous oxide 50% provides significant pain relief and, although it is associated with few side effects,Nitrous oxide can be quickly implemented during advanced painful labor. Expand
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