Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Local Anesthetics: Common Agents and Their Applications01:23

Local Anesthetics: Common Agents and Their Applications

Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Neuraxial anesthesia for surgical pregnancy termination in patients with severe pulmonary hypertension: a case series (2019-2025).

International journal of obstetric anesthesiaยท2026
Same author

Summary of the 2025 European Society of Cardiology Guidelines for the management of cardiovascular disease and pregnancy.

International journal of obstetric anesthesiaยท2026
Same author

Profiling Postpartum Recovery After Scheduled Cesarean Delivery With Neuraxial Anesthesia: A Longitudinal Cohort Study.

Anesthesia and analgesiaยท2025
Same author

Cardiac Surgery During Pregnancy.

Annals of thoracic surgery short reportsยท2025
Same author

Impact of nitrous oxide use on parturient recall of neuraxial analgesia risks.

Journal of clinical anesthesiaยท2024
Same author

Defining optimal perioperative analgesia in patients undergoing laparotomy for advanced gynecologic malignancy: A randomized controlled trial.

Gynecologic oncologyยท2024

Related Experiment Video

Updated: May 8, 2026

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
05:39

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Published on: June 23, 2023

Nonpharmacologic labor analgesia.

Katherine W Arendt1, Jennifer A Tessmer-Tuck

  • 1Department of Anesthesiology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA. arendt.katherine@mayo.edu

Clinics in Perinatology
|August 27, 2013
PubMed
Summary
This summary is machine-generated.

This study reviews nonpharmacologic methods for managing labor pain. It evaluates their effectiveness to support women during childbirth using rigorous systematic reviews.

Keywords:
AcupunctureAromatherapyHydrotherapyHypnosisNonpharmacologic labor analgesiaSterile water papulesTENSYoga

Related Experiment Videos

Last Updated: May 8, 2026

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
05:39

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Published on: June 23, 2023

Area of Science:

  • Obstetrics and Gynecology
  • Pain Management
  • Evidence-Based Medicine

Background:

  • Effective management of labor pain is crucial for a positive childbirth experience.
  • Healthcare providers need comprehensive knowledge of pain relief options.
  • Nonpharmacologic interventions offer alternatives or adjuncts to pharmacologic analgesia.

Purpose of the Study:

  • To evaluate the efficacy of nonpharmacologic labor pain interventions.
  • To provide evidence-based information for medical teams supporting parturients.
  • To highlight the importance of informed care in mitigating labor pain.

Main Methods:

  • Systematic review of previously published Cochrane reviews.
  • Analysis and synthesis of data on nonpharmacologic analgesic interventions.
  • Evaluation of study methodologies for rigor and validity.

Main Results:

  • Nonpharmacologic methods demonstrate varying degrees of efficacy in pain relief.
  • Evidence supports the use of certain nonpharmacologic techniques for labor pain.
  • Further research may be needed to solidify evidence for specific interventions.

Conclusions:

  • Healthcare teams should be knowledgeable about diverse nonpharmacologic pain management strategies.
  • Informed application of these methods enhances supportive and respectful maternal care.
  • Nonpharmacologic interventions are valuable components of comprehensive labor analgesia.