Ramírez-Paesano C, Tovar-Correa L, Rivera R

Idioma: Español
Referencias bibliográficas: 26
Paginas: 245-248
Archivo PDF: 200.23 Kb.

RESUMEN

La analgesia neuroaxial es la técnica disponible más efectiva en la actualidad para el control del dolor durante el trabajo de parto; sin embargo, el momento óptimo de su aplicación es objeto de controversia. Diversos estudios recomiendan la analgesia epidural en parturientas con 4 a 5 cm de dilatación cervical, pero recientes ensayos clínicos aleatorizados han demostrado que una apropiada analgesia neuroaxial en estadios iniciales de la fase latente del trabajo de parto provee múltiples beneficios asociados a mayor satisfacción materna, seguridad feto-materna y reducción del tiempo del primer período. El estudio y comprensión de la vía nociceptiva involucrada en las diferentes fases del trabajo de parto han permitido desarrollar diferentes esquemas analgésicos neuroaxiales para el alivio del dolor en momentos muy precoces del trabajo de parto favoreciendo su progresión. Por tanto, se considera actualmente que la indicación formal para iniciar la analgesia es la solicitud de la parturienta al alivio del dolor y no la dilatación cervical.

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