臨床婦人科産科77巻1号

2023年01月発行

合併増大号　今月の臨床 最善で最新の産科麻酔診療をめざして

分娩時の麻酔―帝王切開術の麻酔

帝王切開・経腟分娩後の疼痛管理

著者： 上村友二¹² 田中基¹²

所属機関： ¹名古屋市立大学大学院医学研究科麻酔科学・集中治療医学分野 ²名古屋市立大学病院無痛分娩センター

ページ範囲：P.79 - P.86

文献概要

●帝王切開・経腟分娩後は，強い疼痛が継続するため身体機能の回復の遅れや産後うつのリスクを上昇させ，育児にも悪影響を与える可能性がある．

●2021年に脊髄幹麻酔で施行した選択的帝王切開の術後鎮痛に関するガイドライン（PROSPECTガイドライン）が改訂された．

●出産後の早期回復を目指した鎮痛やオンデマンド鎮痛など，新たなアプローチが試みられはじめている．

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