{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:02:28Z","timestamp":1787022148333,"version":"build-2736575974"},"reference-count":32,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T00:00:00Z","timestamp":1718668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Effective labor pain management is crucial for parturient well-being, as it can improve the delivery experience of pregnant women and reduce anxiety and tension. This systematic review and network meta-analysis compared the efficacy and safety of various analgesics, classified by drug category and individual treatment methods, for labor pain control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive literature search was conducted in Pubmed, EMBASE, Cochrane Library, and Web of Science databases. All searches commenced from the database\u2019s inception to the date of the literature search (May 31, 2023). The Cochrane Risk of Bias 2 tool assessed study bias risk. Network meta-analyses using a random-effects model and odds ratios (ORs) with 95% confidence intervals (CIs) were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen randomized controlled trials evaluating analgesic interventions in ASA I or II parturients were included. Combination therapies (OR: 5.81; 95% CI, 3.76\u20137.84; probability: 60%) and non-opioid analgesics (OR: 5.61; 95% CI, 2.91\u20138.30; probability: 39.2%) were superior to placebo for labor pain relief. Specifically, dexmedetomidine\/ropivacaine\/sufentanil (OR: 7.32; 95% CI, 2.73\u201311.89; probability: 40.6%) and dexmedetomidine\/ropivacaine (OR: 6.50; 95% CI, 2.51\u201310.33; probability: 11.9%) combinations, bupivacaine\/fentanyl and ropivacaine\/sufentanil combinations, and remifentanil monotherapy showed improved analgesic efficacy versus placebo. Dexmedetomidine\/ropivacaine reduced parturient nausea and vomiting versus alternatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Non-opioids, opioids and combinations thereof effectively relieved labor pain. In addition, dexmedetomidine\/ropivacaine combination demonstrated analgesic efficacy and lower nausea and vomiting incidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0303174","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T13:22:18Z","timestamp":1718716938000},"page":"e0303174","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparative efficacy of opioid and non-opioid analgesics in labor pain management: A network meta-analysis"],"prefix":"10.1371","volume":"19","author":[{"given":"Yiru","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongchun","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0922-4209","authenticated-orcid":true,"given":"Chunhui","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,6,18]]},"reference":[{"issue":"12","key":"pone.0303174.ref001","doi-asserted-by":"crossref","first-page":"2266","DOI":"10.1177\/0956797614551004","article-title":"In pain thou shalt bring forth children: the peak-and-end rule in recall of labor pain","volume":"25","author":"E Chajut","year":"2014","journal-title":"Psychological 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