Abstract：
As the scientific understanding of the intricate relationship between maternal analgesia and neonatal neurological outcomes continues to evolve, it becomes imperative to explore strategies aimed at optimizing this critical facet of obstetric care. This narrative review seeks to critically examine and synthesize existing literature on strategies for improving labor analgesia with a primary focus on their implications for neonatal neurological health. English studies from various databases were included, using keywords such as \"childbirth analgesia\", \"labor pain management\", \"obstetric analgesia\", and \"neonatal outcomes\", combined with \"neonatal neurology\" and \"neonatal outcomes\". The end date for this review is December 2023. This narrative review has undertaken a comprehensive exploration of labor analgesia strategies with a specific emphasis on their impact on neonatal neurological health. Recent research in obstetric anesthesia has significantly contributed to clinical practices by affirming that the early use of neuraxial labor analgesia does not adversely impact the mode of delivery. Additionally, this approach enhances maternal satisfaction. Furthermore, the immediate practical implications extend to the recommendation of employing larger doses of more diluted solutions containing bupivacaine and opioids for both the initiation and maintenance of labor analgesia through patient-controlled epidural analgesia (PCEA).
摘要：
随着对产妇镇痛与新生儿神经系统结局之间复杂关系的科学认识的不断发展，探索旨在优化产科护理这一关键方面的策略变得势在必行。这篇叙述性综述旨在严格审查和综合有关改善分娩镇痛策略的现有文献，主要关注其对新生儿神经系统健康的影响。包括来自各种数据库的英语研究，使用“分娩镇痛”等关键词，“分娩疼痛管理”，“产科镇痛”，和“新生儿结局”，结合“新生儿神经学”和“新生儿结局”。本次审查的结束日期为2023年12月。这篇叙述性综述对分娩镇痛策略进行了全面探索，特别强调了它们对新生儿神经健康的影响。产科麻醉的最新研究通过确认早期使用神经轴分娩镇痛不会对分娩方式产生不利影响，从而为临床实践做出了重大贡献。此外,这种方法提高了产妇的满意度。此外，直接的实际意义扩展到建议使用更大剂量的含有布比卡因和阿片类药物的更稀释的溶液,用于通过患者自控硬膜外镇痛(PCEA)启动和维持分娩镇痛.
