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Pain Management in Pregnancy: Multimodal Approaches

Nonobstetrical causes of pain during pregnancy are very common and can be incapacitating if not treated appropriately. Recent reports in the literature show that a significant percentage of pregnant women are treated with opioids during pregnancy. To address common pain conditions that present durin...

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Autores principales: Shah, Shalini, Banh, Esther T., Koury, Katharine, Bhatia, Gaurav, Nandi, Roneeta, Gulur, Padma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4584042/
https://www.ncbi.nlm.nih.gov/pubmed/26448875
http://dx.doi.org/10.1155/2015/987483
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author Shah, Shalini
Banh, Esther T.
Koury, Katharine
Bhatia, Gaurav
Nandi, Roneeta
Gulur, Padma
author_facet Shah, Shalini
Banh, Esther T.
Koury, Katharine
Bhatia, Gaurav
Nandi, Roneeta
Gulur, Padma
author_sort Shah, Shalini
collection PubMed
description Nonobstetrical causes of pain during pregnancy are very common and can be incapacitating if not treated appropriately. Recent reports in the literature show that a significant percentage of pregnant women are treated with opioids during pregnancy. To address common pain conditions that present during pregnancy and the available pharmacological and nonpharmacological treatment options, for each of the pain conditions identified, a search using MEDLINE, PubMed, Embase, and Cochrane databases was performed. The quality of the evidence was evaluated in the context of study design. This paper is a narrative summary of the results obtained from individual reviews. There were significant disparities in the studies in terms of design, research and methodology, and outcomes analyzed. There is reasonable evidence available for pharmacological approaches; however, these are also associated with adverse events. Evidence for nonpharmacological approaches is limited and hence their efficacy is unclear, although they do appear to be primarily safe. A multimodal approach using a combination of nonpharmacological and pharmacological options to treat these pain conditions is likely to have the most benefit while limiting risk. Research trials with sound methodology and analysis of outcome data are needed.
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spelling pubmed-45840422015-10-07 Pain Management in Pregnancy: Multimodal Approaches Shah, Shalini Banh, Esther T. Koury, Katharine Bhatia, Gaurav Nandi, Roneeta Gulur, Padma Pain Res Treat Review Article Nonobstetrical causes of pain during pregnancy are very common and can be incapacitating if not treated appropriately. Recent reports in the literature show that a significant percentage of pregnant women are treated with opioids during pregnancy. To address common pain conditions that present during pregnancy and the available pharmacological and nonpharmacological treatment options, for each of the pain conditions identified, a search using MEDLINE, PubMed, Embase, and Cochrane databases was performed. The quality of the evidence was evaluated in the context of study design. This paper is a narrative summary of the results obtained from individual reviews. There were significant disparities in the studies in terms of design, research and methodology, and outcomes analyzed. There is reasonable evidence available for pharmacological approaches; however, these are also associated with adverse events. Evidence for nonpharmacological approaches is limited and hence their efficacy is unclear, although they do appear to be primarily safe. A multimodal approach using a combination of nonpharmacological and pharmacological options to treat these pain conditions is likely to have the most benefit while limiting risk. Research trials with sound methodology and analysis of outcome data are needed. Hindawi Publishing Corporation 2015 2015-09-13 /pmc/articles/PMC4584042/ /pubmed/26448875 http://dx.doi.org/10.1155/2015/987483 Text en Copyright © 2015 Shalini Shah et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Shah, Shalini
Banh, Esther T.
Koury, Katharine
Bhatia, Gaurav
Nandi, Roneeta
Gulur, Padma
Pain Management in Pregnancy: Multimodal Approaches
title Pain Management in Pregnancy: Multimodal Approaches
title_full Pain Management in Pregnancy: Multimodal Approaches
title_fullStr Pain Management in Pregnancy: Multimodal Approaches
title_full_unstemmed Pain Management in Pregnancy: Multimodal Approaches
title_short Pain Management in Pregnancy: Multimodal Approaches
title_sort pain management in pregnancy: multimodal approaches
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4584042/
https://www.ncbi.nlm.nih.gov/pubmed/26448875
http://dx.doi.org/10.1155/2015/987483
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