• Cochrane Db Syst Rev · Jan 2000

    Review

    Types of intra-muscular opioids for maternal pain relief in labour.

    • D Elbourne and R A Wiseman.
    • Medical Statistics Unit, London School of Hygiene and Tropical Medicine, Room 121, Keppel Street, London, UK, WC1E 7HT. d.elbourne@lshtm.ac.uk
    • Cochrane Db Syst Rev. 2000 Jan 1(2):CD001237.

    BackgroundPethidine is the most widely used intra-muscular opioid for the relief of labour pain. However concerns have been raised about its effectiveness and the possibility of depressing respiration in newborns.ObjectivesThe objective of this review was to assess the effects of different opioids (and different doses of the same opioid) administered intra-muscularly in labour.Search StrategyWe searched the Cochrane Pregnancy and Childbirth Group trials register, the Cochrane Controlled Trials Register (Cochrane Library, issue 4, 1997) and reference lists of articles.Selection CriteriaRandomised trials comparing the effects of different currently used opioids (and different doses of the same opioid) administered intramuscularly in labour for women who request systemic analgesia.Data Collection And AnalysisTwo reviewers assessed trial quality and extracted data. Analysis was based on the groups as randomly allocated.Main ResultsSixteen trials were included. There were problems with methodological quality of some of the trials, and lack of consistency in the way various outcomes were reported. There was no evidence of a difference between pethidine and tramadol in terms of pain relief, interval to delivery, or instrumental or operative delivery. There appeared to be more adverse effects such as nausea and vomiting and drowsiness with pethidine. Maternal pain relief seemed almost identical between the meptazinol and pethidine groups, whether assessed as maternal satisfaction with pain relief, visual analogue scales, or use of other pain relief, but meptazinol gave rise to slightly more side effects. Maternal satisfaction with pain relief appeared similar for pentazocine and pethidine, with more frequent nausea and vomiting with pethidine.Reviewer's ConclusionsThere is not enough evidence to evaluate the comparative efficacy and safety of the various opioids used for analgesia in labour.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…