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Clinical aspects of anesthesia in childbirth
https://doi.org/10.30629/0023-2149-2025-103-8-9-577-583
Abstract
The systematic analysis presents modern data on the effect of the analgesic component of various types of anesthesia on labor. During the analysis of publications localized in foreign and domestic scientific databases (PubMed, Cochrane, elibrary), 46 articles were selected after the initial identification of scientific publications, applying inclusion and exclusion criteria. The conducted systematic analysis allows us to formulate the conclusion that among a number of anesthesia methods used in natural childbirth, epidural anesthesia is the most applicable, and levobupivacaine is the drug of choice, which has the most differentiated motor block, lower cardio and neurotoxicity compared to other local anesthetics. A number of authors have demonstrated the advantages of non-neuroaxial methods. A significant part of the studies conducted have shown the effectiveness of intravenous opioids, but their use is associated with a number of side effects on the mother’s body.
About the Authors
I. S. Zakharov
Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
Россия
Россия
Igor S. Zakharov — Doctor of Medical Sciences, Professor of the Department of Obstetrics and Gynecology
Saint Petersburg
A. A. Bezmenko
Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
Россия
Россия
Alexandr A. Bezmenko — Candidate of Medical Sciences, Head of the Department of Obstetrics and Gynecology
Saint Petersburg
O. V. Pashchenko
Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
Россия
Россия
Oleg V. Pashchenko — Candidate of Medical Sciences, Head of Department of Anesthesiology and Intensive Care at the Clinic of Obstetrics and Gynecology
Saint Petersburg
A. B. Timofeev
Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
Россия
Россия
Alexey B. Timofeev — Candidate of Medical Sciences, Senior Lecturer at the Department of Anesthesiology and Intensive Care
Saint Petersburg
O. K. Babkina
Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
Россия
Россия
Olga K. Babkina — student
Saint Petersburg
B. A. Strizhakov
Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
Россия
Россия
Bogdan A. Strizhakov — cadet
Saint Petersburg
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Review
For citations:
Zakharov I.S., Bezmenko A.A., Pashchenko O.V., Timofeev A.B., Babkina O.K., Strizhakov B.A. Clinical aspects of anesthesia in childbirth. Clinical Medicine (Russian Journal). 2025;103(8-9):577-583. (In Russ.) https://doi.org/10.30629/0023-2149-2025-103-8-9-577-583
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