Chronic Pain Management in Pregnancy: A Review of the Literature
Date
2015
Authors
Jankiewicz, A.
Fielder, A.
Warland, J.
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Journal article
Citation
Canadian Journal of Midwifery Research and Practice, 2015; 14(2):34-42
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Abstract
Objective: This review summarizes current literature and explores issuesinvolved in the management of pregnant women with chronic pain conditions
Methods: Articles in this review were selected through searches of Scopus,Cumulative Index of Nursing and Allied Health Literature (CINAHL), CochraneLibrary, and MEDLINE databases. “Grey” literature such as cross-references fromidentified articles, clinical recommendations, professional consensus, bibliographiesfrom review articles, and book chapters were also examined for appropriate material
Results: The search yielded 18,401 results in total; however, the majority relatedto management of labour pain, physiological pain in pregnancy, chronic pain inthe nonpregnant population, and opioid maintenance in pregnancy for substancedependentwomen. These results were therefore excluded. Sixteen relevant articleswere included. A lack of high-quality research in the area, a potential for increasedmaternal and fetal complications, and the need for multidisciplinary input wereidentified as issues
Discussion: This is one of the first literature reviews to assess the managementof women with chronic pain conditions who become pregnant. Poorly managedchronic pain can have adverse effects on the mother and lead to premature inductionof labour and birth of the infant. Despite the apparent risks, there remains an absenceof research in this field
Conclusion: It is imperative that research and clinical education are continuedin this field. This will enable health care clinicians to provide women withappropriate, evidence-based options for their prenatal care, as well as effective,ongoing management of chronic pain conditions during pregnancy
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Copyright 2015