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Labor pain

MedGen UID:
105373
•Concept ID:
C0474368
•
Sign or Symptom
Synonyms: Labor Pain; Obstetric Pain; Pain, Labor; Pain, Obstetric
SNOMED CT: Labor pain (247412007); Childbirth pain (247412007); Obstetric pain (279055000)

Definition

The discomfort that is experienced by the pregnant mother during the childbirth process as she attempts to give birth. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVLabor pain

Professional guidelines

PubMed

Pain Management in Labor.
Smith A, Laflamme E, Komanecky C
Am Fam Physician 2021 Mar 15;103(6):355-364. PMID: 33719377
Music Therapy in Pain and Anxiety Management during Labor: A Systematic Review and Meta-Analysis.
Santiváñez-Acosta R, Tapia-López ELN, Santero M
Medicina (Kaunas) 2020 Oct 10;56(10) doi: 10.3390/medicina56100526. PMID: 33050409Free PMC Article
Pain management during labor and vaginal birth.
Nanji JA, Carvalho B
Best Pract Res Clin Obstet Gynaecol 2020 Aug;67:100-112. Epub 2020 Mar 7 doi: 10.1016/j.bpobgyn.2020.03.002. PMID: 32265134

Recent clinical studies

Etiology

Birthing ball for reducing labor pain: a systematic review and meta-analysis of randomized controlled trials.
Grenvik JM, Rosenthal E, Wey S, Saccone G, De Vivo V, De Prisco Lcp A, Delgado García BE, Berghella V
J Matern Fetal Neonatal Med 2022 Dec;35(25):5184-5193. Epub 2021 Jan 21 doi: 10.1080/14767058.2021.1875439. PMID: 33478303
The effectiveness of a Pilates exercise program during pregnancy on childbirth outcomes: a randomised controlled clinical trial.
Ghandali NY, Iravani M, Habibi A, Cheraghian B
BMC Pregnancy Childbirth 2021 Jul 2;21(1):480. doi: 10.1186/s12884-021-03922-2. PMID: 34215198Free PMC Article
Non-pharmacological therapies applied in pregnancy and labor: an integrative review.
Biana CB, Cecagno D, Porto AR, Cecagno S, Marques VA, Soares MC
Rev Esc Enferm USP 2021;55:e03681. Epub 2021 Apr 16 doi: 10.1590/S1980-220X2019019703681. PMID: 33886910
Pain Management in Labor.
Smith A, Laflamme E, Komanecky C
Am Fam Physician 2021 Mar 15;103(6):355-364. PMID: 33719377
The Effectiveness of Aromatherapy in the Management of Labor Pain and Anxiety: A Systematic Review.
Tabatabaeichehr M, Mortazavi H
Ethiop J Health Sci 2020 May;30(3):449-458. doi: 10.4314/ejhs.v30i3.16. PMID: 32874088Free PMC Article

Diagnosis

Beyond the epidural: Alternatives to neuraxial labor analgesia.
Sharpe EE, Rollins MD
Best Pract Res Clin Anaesthesiol 2022 May;36(1):37-51. Epub 2022 Apr 22 doi: 10.1016/j.bpa.2022.04.005. PMID: 35659959
Post-dural puncture headache diagnosis and management.
Vallejo MC, Zakowski MI
Best Pract Res Clin Anaesthesiol 2022 May;36(1):179-189. Epub 2022 Jan 25 doi: 10.1016/j.bpa.2022.01.002. PMID: 35659954
Complementary therapies in labor: randomized clinical trial.
Cavalcanti ACV, Henrique AJ, Brasil CM, Gabrielloni MC, Barbieri M
Rev Gaucha Enferm 2019;40:e20190026. Epub 2019 Sep 23 doi: 10.1590/1983-1447.2019.20190026. PMID: 31553374
No. 355-Physiologic Basis of Pain in Labour and Delivery: An Evidence-Based Approach to its Management.
Bonapace J, Gagné GP, Chaillet N, Gagnon R, Hébert E, Buckley S
J Obstet Gynaecol Can 2018 Feb;40(2):227-245. doi: 10.1016/j.jogc.2017.08.003. PMID: 29447711
Pain biomarkers.
Marchi A, Vellucci R, Mameli S, Rita Piredda A, Finco G
Clin Drug Investig 2009;29 Suppl 1:41-6. doi: 10.2165/0044011-200929001-00006. PMID: 19445554

Therapy

Pharmacologic and nonpharmacologic options for pain relief during labor: an expert review.
Zuarez-Easton S, Erez O, Zafran N, Carmeli J, Garmi G, Salim R
Am J Obstet Gynecol 2023 May;228(5S):S1246-S1259. Epub 2023 Mar 20 doi: 10.1016/j.ajog.2023.03.003. PMID: 37005099
Birthing ball for reducing labor pain: a systematic review and meta-analysis of randomized controlled trials.
Grenvik JM, Rosenthal E, Wey S, Saccone G, De Vivo V, De Prisco Lcp A, Delgado García BE, Berghella V
J Matern Fetal Neonatal Med 2022 Dec;35(25):5184-5193. Epub 2021 Jan 21 doi: 10.1080/14767058.2021.1875439. PMID: 33478303
The effectiveness of a Pilates exercise program during pregnancy on childbirth outcomes: a randomised controlled clinical trial.
Ghandali NY, Iravani M, Habibi A, Cheraghian B
BMC Pregnancy Childbirth 2021 Jul 2;21(1):480. doi: 10.1186/s12884-021-03922-2. PMID: 34215198Free PMC Article
Pain Management in Labor.
Smith A, Laflamme E, Komanecky C
Am Fam Physician 2021 Mar 15;103(6):355-364. PMID: 33719377
Pain management during labor and vaginal birth.
Nanji JA, Carvalho B
Best Pract Res Clin Obstet Gynaecol 2020 Aug;67:100-112. Epub 2020 Mar 7 doi: 10.1016/j.bpobgyn.2020.03.002. PMID: 32265134

Prognosis

Anaesthesia of pregnant women.
Jastrzebska-Stojko Z, Sadlocha M
Ginekol Pol 2021;92(10):735-740. doi: 10.5603/GP.a2021.0062. PMID: 34747002
Pain Management in Labor.
Smith A, Laflamme E, Komanecky C
Am Fam Physician 2021 Mar 15;103(6):355-364. PMID: 33719377
Effect of Antenatal Exercises, Including Yoga, on the Course of Labor, Delivery and Pregnancy: A Retrospective Study.
Wadhwa Y, Alghadir AH, Iqbal ZA
Int J Environ Res Public Health 2020 Jul 22;17(15) doi: 10.3390/ijerph17155274. PMID: 32707830Free PMC Article
Benefits of preparing for childbirth with mindfulness training: a randomized controlled trial with active comparison.
Duncan LG, Cohn MA, Chao MT, Cook JG, Riccobono J, Bardacke N
BMC Pregnancy Childbirth 2017 May 12;17(1):140. doi: 10.1186/s12884-017-1319-3. PMID: 28499376Free PMC Article
Pain biomarkers.
Marchi A, Vellucci R, Mameli S, Rita Piredda A, Finco G
Clin Drug Investig 2009;29 Suppl 1:41-6. doi: 10.2165/0044011-200929001-00006. PMID: 19445554

Clinical prediction guides

The effectiveness of a Pilates exercise program during pregnancy on childbirth outcomes: a randomised controlled clinical trial.
Ghandali NY, Iravani M, Habibi A, Cheraghian B
BMC Pregnancy Childbirth 2021 Jul 2;21(1):480. doi: 10.1186/s12884-021-03922-2. PMID: 34215198Free PMC Article
Pain Management in Labor.
Smith A, Laflamme E, Komanecky C
Am Fam Physician 2021 Mar 15;103(6):355-364. PMID: 33719377
Music Therapy in Pain and Anxiety Management during Labor: A Systematic Review and Meta-Analysis.
Santiváñez-Acosta R, Tapia-López ELN, Santero M
Medicina (Kaunas) 2020 Oct 10;56(10) doi: 10.3390/medicina56100526. PMID: 33050409Free PMC Article
Complementary therapies in labor: randomized clinical trial.
Cavalcanti ACV, Henrique AJ, Brasil CM, Gabrielloni MC, Barbieri M
Rev Gaucha Enferm 2019;40:e20190026. Epub 2019 Sep 23 doi: 10.1590/1983-1447.2019.20190026. PMID: 31553374
Prenatal Yoga: Effects on Alleviation of Labor Pain and Birth Outcomes.
Bolanthakodi C, Raghunandan C, Saili A, Mondal S, Saxena P
J Altern Complement Med 2018 Dec;24(12):1181-1188. Epub 2018 Aug 30 doi: 10.1089/acm.2018.0079. PMID: 30160530

Recent systematic reviews

Birthing ball for reducing labor pain: a systematic review and meta-analysis of randomized controlled trials.
Grenvik JM, Rosenthal E, Wey S, Saccone G, De Vivo V, De Prisco Lcp A, Delgado García BE, Berghella V
J Matern Fetal Neonatal Med 2022 Dec;35(25):5184-5193. Epub 2021 Jan 21 doi: 10.1080/14767058.2021.1875439. PMID: 33478303
Music Therapy in Pain and Anxiety Management during Labor: A Systematic Review and Meta-Analysis.
Santiváñez-Acosta R, Tapia-López ELN, Santero M
Medicina (Kaunas) 2020 Oct 10;56(10) doi: 10.3390/medicina56100526. PMID: 33050409Free PMC Article
The Effectiveness of Aromatherapy in the Management of Labor Pain and Anxiety: A Systematic Review.
Tabatabaeichehr M, Mortazavi H
Ethiop J Health Sci 2020 May;30(3):449-458. doi: 10.4314/ejhs.v30i3.16. PMID: 32874088Free PMC Article
Epidural versus non-epidural or no analgesia for pain management in labour.
Anim-Somuah M, Smyth RM, Cyna AM, Cuthbert A
Cochrane Database Syst Rev 2018 May 21;5(5):CD000331. doi: 10.1002/14651858.CD000331.pub4. PMID: 29781504Free PMC Article
Relaxation techniques for pain management in labour.
Smith CA, Levett KM, Collins CT, Armour M, Dahlen HG, Suganuma M
Cochrane Database Syst Rev 2018 Mar 28;3(3):CD009514. doi: 10.1002/14651858.CD009514.pub2. PMID: 29589650Free PMC Article

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