Post-caesarean delivery analgesia in resource-limited settings: a narrative review
| Autor: | Robert A. Dyer, D. G. Bishop, M W Gibbs |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Postpartum depression
medicine.medical_specialty Analgesic Staffing Breastfeeding 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Pregnancy Medicine Humans Intensive care medicine Developing Countries Poverty Government Pain Postoperative 030219 obstetrics & reproductive medicine business.industry Cesarean Section Chronic pain Obstetrics and Gynecology medicine.disease Test (assessment) Anesthesiology and Pain Medicine Analgesia Obstetrical Narrative review Female business |
| Zdroj: | International journal of obstetric anesthesia. 40 |
| ISSN: | 1532-3374 |
| Popis: | Post-caesarean pain is an important and often neglected outcome. It causes suffering, affects breastfeeding and is associated with postpartum depression and the development of chronic pain syndromes. Pain control is often difficult even in resource-rich environments; it is likely far worse in resource-limited settings, where emphasis is on reducing the high maternal mortality rate. Lack of adequate staffing, education, and postoperative monitoring severely limit the options in resource-limited settings. Resource-limited settings are further compromised by limited access to essential analgesic drugs and equipment for their administration. Solutions using affordable and accessible medications as part of a multimodal analgesic strategy are possible, supplemented by education and training programmes. More research is required, both to establish current practice and to test methods for improving maternal pain control. While government involvement is necessary to improve infrastructure and resources in individual countries, other solutions should also be sought, empowering local institutions and harnessing individual cultural characteristics. |
| Databáze: | OpenAIRE |
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