UPDATE ON EPIDURAL ANALGESIA DURING LABOR AND DELIVERY

Properly administered epidural analgesia provides adequate pain relief during labor and delivery, shortens the first stage of labor, avoids adverse effects of narcotics, hypnotics, or inhalation drugs and it co uld be used as anesthesia in case a cesarean section is required. Epid ural analgesia should be provided to all patients who need and ask for it with an exception of contraindications such as coagulation disorde rs, suspected infection or gross anatomic abnormality. The technique m ust be carried out with care if serious life-threatening complications , such as intravenous or intrathecal injection of local anesthetic, ar e to be avoided. The aim of many recent investigations has been to red uce the total dose of local anesthetic used. Supplementation of an opi oid (mainly fentanyl) and introduction of the patient controlled epidu ral pump may not only serve this goal, but also reduce the demands on the time of obstetric anesthetists. We conclude that properly and skil lfully administered epidural is the best form of pain relief during la bor and delivery and we hope that more mothers could enjoy its benefit s.