Documente Academic
Documente Profesional
Documente Cultură
OBSTETRIC WITH
NEUROAXIAL ANALGESIA
Dr Mahmud MSc, SpAn, KMN, FIPM
Division of Pain of Department of Anesthesiology and Intensive Care
Therapy Sardjito Hospital-Medical Faculty Gadjah Mada University
Yogyakarta
Pain Management for Obstetric with
Neuroaxial Block
• Physiologic Changes of Pregnancy
• Neuraxial Analgesia and the Progress of Labor
• Labor Pain Pathways
• Physiology of Labor Pain
• Drug Response in Pregnancy
• Anesthesia for Labor
• Anesthesia for Cesarean Section
• Adjuvant and Alternative OB Blocks
• Complications
INTRODUCTION
Pain
Medulation
Descending
modulation Dorsal Horn
Ascending
Physiology of Labor Pain
Dorsal root ganglion
Conduction
input
Transduction
Spinothalamic Peripheral
tract nerve
Trauma
Peripheral
nociceptors
Adapted from Gottschalk A et al. Am Fam Physician. 2001;63:1981, and Kehlet H et al. Anesth Analg. 1993;77:1049.
Modified by AHT
Drug Response in Pregnancy