{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T11:36:00Z","timestamp":1774265760858,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,11,5]],"date-time":"2012-11-05T00:00:00Z","timestamp":1352073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Analgesia and coping with labor pain can prevent suffering during childbirth. Nonpharmacologic methods help women manage labor pain. Strong evidence is available for the efficacy of continuous one\u2010to\u2010one support from a woman trained to provide nonmedical care during labor, immersion in warm water during first\u2010stage labor, and sterile water injected intracutaneously or subcutaneously at locations near a woman's lumbosacral spine to reduce back\u2010labor pain. Sterile water injections also reduce the incidence of cesarean deliveries. Nitrous oxide labor analgesia is not potent, but helps women relax, gives them a sense of control, and reduces and distracts their perception of pain. It is inexpensive; can be administered and discontinued safely, simply, and quickly; has no adverse effects on the normal physiology and progress of labor; and does not require intensive monitoring or co\u2010interventions. Parenteral opioids provide mild\u2010to\u2010moderate labor pain relief, but cause side effects. Although observational studies have found associations between maternal use of opioids and neonatal complications, little higher level evidence is available except that <jats:italic>meperidine<\/jats:italic> is associated with low Apgar scores. Patient\u2010controlled intravenous administration of remifentanil provides better analgesia and satisfaction than other opioids, but can cause severe side effects; continuous monitoring of arterial oxygen saturation, anesthesia supervision, one\u2010to\u2010one nursing, and availability of oxygen are recommended. The demand for inexpensive, simple, safe but effective labor pain management for women will undoubtedly increase in places that lack wide access to it now. (<jats:styled-content style=\"fixed-case\">BIRTH<\/jats:styled-content> 39:4 December 2012)<\/jats:p>","DOI":"10.1111\/birt.12009","type":"journal-article","created":{"date-parts":[[2012,11,5]],"date-time":"2012-11-05T22:58:30Z","timestamp":1352156310000},"page":"318-322","source":"Crossref","is-referenced-by-count":32,"title":["Labor Pain Management Other Than Neuraxial: What Do We Know and Where Do We Go Next?"],"prefix":"10.1111","volume":"39","author":[{"given":"Judith P.","family":"Rooks","sequence":"first","affiliation":[{"name":"Maternal and child health American College of Nurse\u2010Midwives"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,5]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(02)70179-8"},{"key":"e_1_2_3_3_1","volume-title":"UpToDate","author":"Simkin P","year":"2012"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536x.2000.00104.x"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12011"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-6-7"},{"issue":"2","key":"e_1_2_3_7_1","first-page":"CD003766","article-title":"Continuous support for women during childbirth","volume":"16","author":"Hodnett ED","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"e_1_2_3_8_1","first-page":"CD000111","article-title":"Immersion in water in labor and birth","volume":"15","author":"Cluett ER","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1099800410361535"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02221.x"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2008.00856.x"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11615.x"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2006.00536.x"},{"key":"e_1_2_3_14_1","first-page":"CD009107","article-title":"Intracutaneous or subcutaneous sterile water injection compared with blinded controls for pain management in labor","volume":"1","author":"Derry S","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_3_15_1","first-page":"CD009234","article-title":"Pain management for women in labour: An overview of systematic reviews","volume":"3","author":"Jones L","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"e_1_2_3_16_1","first-page":"CD007214","article-title":"Transcutaneous electrical nerve stimulation (TENS) for pain relief in labour","volume":"15","author":"Dowswell T","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"issue":"7","key":"e_1_2_3_17_1","first-page":"CD009232","article-title":"Acupuncture or acupressure for pain management in labor","volume":"6","author":"Smith CA","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"e_1_2_3_18_1","first-page":"CD003521","article-title":"Complementary and alternative therapies for pain management in labour","volume":"18","author":"Smith CA","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"issue":"5","key":"e_1_2_3_19_1","first-page":"CD002006","article-title":"Position in the second stage of labour for women without epidural anesthesia","volume":"16","author":"Gupta JK","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181870a17"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-2011.2011.00122.x"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(02)70186-5"},{"key":"e_1_2_3_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(02)70185-3"},{"issue":"9","key":"e_1_2_3_24_1","first-page":"CD007396","article-title":"Parenteral opioids for maternal pain relief in labor","volume":"8","author":"Ullman R","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_3_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0b013e32834fc260"},{"key":"e_1_2_3_26_1","unstructured":"GirardT.Faculty of 1000 Post\u2010Publication Peer Review Anesthesiology & Pain Management review of Schnabel et al. review of Remifentanil for Labour Analgesia posted online on March 1 2012. Accessed March 19 2012. Available at:http:\/\/f1000.com\/13952978#citeEvaluationContent-15408083."},{"key":"e_1_2_3_27_1","doi-asserted-by":"publisher","DOI":"10.1891\/1058-1243.20.3.166"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbirt.12009","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T05:42:55Z","timestamp":1700545375000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11,5]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["10.1111\/birt.12009"],"URL":"https:\/\/doi.org\/10.1111\/birt.12009","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11,5]]}}}