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Re: Pain managementFrom: LCLEMOS@aol.comThu Mar 30 05:21:20 2006
In a message dated 3/29/2006 12:24:17 P.M. Eastern Standard Time, doctorjoe@aol.com writes: I wonder if that stands up to physiologic measurement, with wires and sensors and EEG leads and all that cool stuff. Joe P. -----Original Message----- From: GA12L@aol.com To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Wed, 29 Mar 2006 11:03:55 -0600 Subject: Re: Pain management Pain is a very personal and individual experience ". defined as whatever the patient says it is, and it exists wherever he or she says it does." (Lilley, L. L., Harrington, S., & Snyder, J. S.; 2005. Pharmacology and the Nursing Process. 4th ed., pp. 147. St. Louis: Mosby) Gail Perhaps not, but it is the definition ACOG is using: ACOG Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists Number 36, July 2002. Obstetric analgesial and anesthesia. _Goetzl LM_ (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&itool=PubMed_Abstract&term="Goetzl+LM"[Author]) ; _ACOG Committee on Practice Bulletins-Obstetrics_ (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&itool=PubMed_Abstract&term="ACOG+Committee+on+Practice+Bulleti ns-Obstetrics"[Corporate+Author]) . Labor results in severe pain for many women. There is no other circumstance in which it is considered acceptable for a person to experience untreated severe pain, amenable to safe intervention, while under a physician's care. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. Pain management should be provided whenever it is medically indicated. The purpose of this document is to help obstetrician-gynecologists understand the available methods of pain relief to facilitate communication with their colleagues in the field of anesthesia, thereby, optimizing patient comfort while minimizing the potential for maternal and neonatal morbidity and mortality.
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