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={Frances E. Likis and Jeffrey Campbell Andrews and Michelle R. Collins and Rashonda M Lewis and Jeffrey J Seroogy and Sarah A. Starr and Rachel R. Walden and Melissa 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… 

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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.

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Patient-controlled epidural analgesia is superior to nitrous oxide inhalation in controlling childbirth pain

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References

SHOWING 1-10 OF 1,168 REFERENCES

The nature and management of labor pain: part II. Pharmacologic pain relief.

Research is needed regarding which pain-relief options women would choose if they were offered a range of choices beyond epidural analgesia or parenteral opioids, and little evidence supports the use of one agent over another.

OBSTETRIC ANALGESIA.

Safety and risks of nitrous oxide labor analgesia: a review.

  • J. Rooks
  • Medicine
    Journal of midwifery & women's health
  • 2011
Nitrous oxide labor analgesia is simple to administer, does not interfere with the release and function of endogenous oxytocin, and has no adverse effects on the normal physiology and progress of labor.

Entonox for labor pain: a randomized placebo controlled trial.

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.

Nitrous Oxide in Early Labor Safety and Analgesic Efficacy Assessed by a Double‐blind, Placebo‐controlled Study

While intermittent self-administered 50% nitrous oxide in oxygen does not appear to predispose parturient women to hemoglobin oxygen desaturation, its analgesic effect has yet to be clearly demonstrated.

Current status of nitrous oxide for obstetric pain relief

  • L. Irestedt
  • Medicine
    Acta anaesthesiologica Scandinavica
  • 1994
Besides its use for relief of labour pain, nitrous oxide 0.5 MAC remains a common component of general anaesthesia for caesarean section and for other obstetric interventions.

The complexity of labor pain: experiences of 278 women.

The sensory (pain intensity) and effective (negative or positive experience) dimensions of pain, as well as need for pain relief during labor were explored, suggesting that coping with pain is a rewarding experience for some women.

Avoidance of Nitrous Oxide for Patients Undergoing Major Surgery: A Randomized Controlled Trial

Avoidance of nitrous oxide and the concomitant increase in inspired oxygen concentration decreases the incidence of complications after major surgery, but does not significantly affect the duration of hospital stay.
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