[S3 guidelines on "full-term vaginal birth" from an anesthesiological perspective : Worthwhile knowledge for...

Area of Science:

• Obstetrics and Gynecology
• Evidence-Based Medicine
• Anesthesiology

Background:

• Recent 2020 S3 guidelines address full-term vaginal birth and cesarean sections.
• Multiprofessional input is integral to these obstetric guidelines.
• Neonatal monitoring during birth remains an area of ongoing discussion.

Purpose of the Study:

• To advance evidence-based medicine in obstetrics.
• To highlight the role of anesthesiology in modern childbirth.
• To underscore patient autonomy and safety in birth management.

Main Methods:

• Review and synthesis of 2020 S3 guidelines on vaginal birth and cesarean sections.
• Analysis of anesthesiological approaches to obstetric pain management.
• Evaluation of patient information strategies regarding analgesia options.

Main Results:

• Neuraxial procedures are confirmed as the gold standard for obstetric analgesia.
• Remifentanil patient-controlled analgesia (PCA) offers an alternative when neuraxial methods are contraindicated.
• Fasting rules are relaxed during uncomplicated births, prioritizing maternal comfort.

Conclusions:

• The guidelines prioritize maternal and infant safety and well-being.
• Enhanced patient information on neuraxial analgesia is crucial for informed decision-making.
• Initiatives beyond standard midwife-led sessions are needed to fully inform expectant mothers.