Pain management in childbirth: neuraxial analgesia and drug alternatives.

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Title: Pain management in childbirth: neuraxial analgesia and drug alternatives.
Authors: Keita H; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Hôpital Necker, APHP, Paris, France; Pharmacologie et évaluation des thérapeutiques chez l'enfant et la femme enceinte. Unité Propre de Recherche (UPR) 7323, Hôpitaux Universitaires Paris Centre - Site Tarnier, Université Paris Cité, Paris 75006, France. Electronic address: hawa.keita@aphp.fr., Morau E; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, CHU Nimes, Nimes, France., Bonnet MP; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Hôpital Trousseau, APHP, Paris, France., Adalid L; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Hôpital Necker, APHP, Paris, France; Pharmacologie et évaluation des thérapeutiques chez l'enfant et la femme enceinte. Unité Propre de Recherche (UPR) 7323, Hôpitaux Universitaires Paris Centre - Site Tarnier, Université Paris Cité, Paris 75006, France; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, CHU Nimes, Nimes, France; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Hôpital Trousseau, APHP, Paris, France., Baptiste AS; Service d'anesthésie, Centre Hospitalier de Roubaix, France., Belveyre T; Department of Thoraco-Abdominal Anaesthesia and Intensive Care, Magellan Medico-Surgical Centre, Bordeaux Central University Hospital, Pessac, France., Bonnin M; Anesthésie Réanimation, Pôle medecine peri opératoire, maternité hôpital Estaing, CHU Clermont-Ferrand, 1 place Lucie Aubrac, 63000 Clermont Ferrand, France., Bouvet L; Department of Anesthesiology and Intensive Care, Hospices Civils de Lyon, Femme Mère Enfant Hospital, 59, boulevard Pinel, 69500 Bron, France; University of Lyon, Université Claude Bernard Lyon 1, 43 boulevard du 11 Novembre 1918, 69100 Villeurbanne, France., Campion S; Anesthésie-Réanimation et Médecine Péri-Opératoire, Hôpital Privé Armand Brillard, Ramsay Santé, Nogent-sur-Marne, France., Dewandre PY; Department of Anesthesia and Intensive Care Medicine, Liège University Hospital, Quartier Hôpital, Avenue de l'Hôpital 1, 4000 Liège, Belgium., Evrard A; Collectif Inter Associatif autour de la Naissance, Paris, France., Faitot V; Department of Anesthesiology and Critical Care Medicine, Hautepierre Hospital, CHU de Strabourg, France., Fischer C; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Hôpital Cochin, APHP, Paris, France., Fournier S; Service Prévention du risque infectieux, AP-HP, Paris - Conseil scientifique de la Société française d'Hygiène Hospitalière (SF2H), France., Godier A; Université Paris Cité, Service d'anesthésie-réanimation, AP-HP, Hôpital Georges Pompidou, UMRS_970, PARCC, Paris, France., Gouraud D; Anesthésie-Réanimation, Santé Atlantique, Saint Herblain, France., Gonzalez Estevez M; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Jeanne de Flandre Maternity Hospital, Lille University Hospital, Lille, France., Julliac B; pôle d'anesthésie et réanimation, maison de santé protestante de bordeaux, Talence, France., Korb D; Département de Gynécologie-Obstétrique, Hopital Robert Debré, APHP, Paris, France., Le Gouez A; Département d'anesthésie-réanimation, Hôpital Antoine Béclère AP-HP, Clamart, France., Rackelboom T; Department of Anaesthesia, Martinique University Hospital, 97261 Fort-de-France, France., Rigollet LP; service d'obstétrique CHU Rennes, France., Roger-Christoph S; Anesthésie-Réanimation, Hôpital Privé d'Antony, 92160 Antony, France., Salaun JP; Department of Anesthesiology and Critical Care Medicine, CHU Caen, Caen-Normandie University Hospital, Caen, France; Institut Blood and Brain @Caen-Normandie (BB@C), UMR-S U1237/Physiopathology and Imaging of Neurological Disorders (PhIND), Normandie Univ, UNICAEN, INSERM, GIP Cyceron, Caen, France., Souyri V; Service Prévention du risque infectieux, AP-HP, Paris - Conseil scientifique de la Société française d'Hygiène Hospitalière (SF2H), France., Susen S; Univ. Lille, Inserm, Hematology and Transfusion Department, CHU Lille, Institut Pasteur de Lille, U1011- EGID, F-59000 Lille, France., Tharwat D; Service d'obstétrique, maternité des Diaconesses, Paris, France., Vantalon AH; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Vannes, France., Vial F; Department of Anaesthesia and Intensive Care, Maternité Régionale Universitaire de Nancy, CHRU de Nancy, France., Verspyck É; Département de Gynécologie-Obstétrique, CHU de Rouen, France., Dumont M; Department of Anaesthesiology and Critical Care Medecine, Burn center, CHU Pellegrin, Bordeaux University, Bordeaux, France., Michelet D; Department of Anaesthesia and Intensive Care, CHU de Reims and Cognition, Santé, Societé - C2S laboratory, Reims Champagne Ardenne University, Reims, France.
Source: Anaesthesia, critical care & pain medicine [Anaesth Crit Care Pain Med] 2026 Feb 17, pp. 101771. Date of Electronic Publication: 2026 Feb 17.
Publication Type: Journal Article; Practice Guideline
Journal Info: Publisher: Published by Elsevier Masson SAS on behalf of the Société française d'anesthésie et de réanimation (Sfar) Country of Publication: France NLM ID: 101652401 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-5568 (Electronic) Linking ISSN: 23525568 NLM ISO Abbreviation: Anaesth Crit Care Pain Med Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: Pain management in childbirth: neuraxial analgesia and drug alternatives.
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  Data: <searchLink fieldCode="AU" term="%22Keita+H%22">Keita H</searchLink>; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Hôpital Necker, APHP, Paris, France; Pharmacologie et évaluation des thérapeutiques chez l'enfant et la femme enceinte. Unité Propre de Recherche (UPR) 7323, Hôpitaux Universitaires Paris Centre - Site Tarnier, Université Paris Cité, Paris 75006, France. Electronic address: hawa.keita@aphp.fr.<br /><searchLink fieldCode="AU" term="%22Morau+E%22">Morau E</searchLink>; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, CHU Nimes, Nimes, France.<br /><searchLink fieldCode="AU" term="%22Bonnet+MP%22">Bonnet MP</searchLink>; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Hôpital Trousseau, APHP, Paris, France.<br /><searchLink fieldCode="AU" term="%22Adalid+L%22">Adalid L</searchLink>; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Hôpital Necker, APHP, Paris, France; Pharmacologie et évaluation des thérapeutiques chez l'enfant et la femme enceinte. Unité Propre de Recherche (UPR) 7323, Hôpitaux Universitaires Paris Centre - Site Tarnier, Université Paris Cité, Paris 75006, France; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, CHU Nimes, Nimes, France; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Hôpital Trousseau, APHP, Paris, France.<br /><searchLink fieldCode="AU" term="%22Baptiste+AS%22">Baptiste AS</searchLink>; Service d'anesthésie, Centre Hospitalier de Roubaix, France.<br /><searchLink fieldCode="AU" term="%22Belveyre+T%22">Belveyre T</searchLink>; Department of Thoraco-Abdominal Anaesthesia and Intensive Care, Magellan Medico-Surgical Centre, Bordeaux Central University Hospital, Pessac, France.<br /><searchLink fieldCode="AU" term="%22Bonnin+M%22">Bonnin M</searchLink>; Anesthésie Réanimation, Pôle medecine peri opératoire, maternité hôpital Estaing, CHU Clermont-Ferrand, 1 place Lucie Aubrac, 63000 Clermont Ferrand, France.<br /><searchLink fieldCode="AU" term="%22Bouvet+L%22">Bouvet L</searchLink>; Department of Anesthesiology and Intensive Care, Hospices Civils de Lyon, Femme Mère Enfant Hospital, 59, boulevard Pinel, 69500 Bron, France; University of Lyon, Université Claude Bernard Lyon 1, 43 boulevard du 11 Novembre 1918, 69100 Villeurbanne, France.<br /><searchLink fieldCode="AU" term="%22Campion+S%22">Campion S</searchLink>; Anesthésie-Réanimation et Médecine Péri-Opératoire, Hôpital Privé Armand Brillard, Ramsay Santé, Nogent-sur-Marne, France.<br /><searchLink fieldCode="AU" term="%22Dewandre+PY%22">Dewandre PY</searchLink>; Department of Anesthesia and Intensive Care Medicine, Liège University Hospital, Quartier Hôpital, Avenue de l'Hôpital 1, 4000 Liège, Belgium.<br /><searchLink fieldCode="AU" term="%22Evrard+A%22">Evrard A</searchLink>; Collectif Inter Associatif autour de la Naissance, Paris, France.<br /><searchLink fieldCode="AU" term="%22Faitot+V%22">Faitot V</searchLink>; Department of Anesthesiology and Critical Care Medicine, Hautepierre Hospital, CHU de Strabourg, France.<br /><searchLink fieldCode="AU" term="%22Fischer+C%22">Fischer C</searchLink>; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Hôpital Cochin, APHP, Paris, France.<br /><searchLink fieldCode="AU" term="%22Fournier+S%22">Fournier S</searchLink>; Service Prévention du risque infectieux, AP-HP, Paris - Conseil scientifique de la Société française d'Hygiène Hospitalière (SF2H), France.<br /><searchLink fieldCode="AU" term="%22Godier+A%22">Godier A</searchLink>; Université Paris Cité, Service d'anesthésie-réanimation, AP-HP, Hôpital Georges Pompidou, UMRS_970, PARCC, Paris, France.<br /><searchLink fieldCode="AU" term="%22Gouraud+D%22">Gouraud D</searchLink>; Anesthésie-Réanimation, Santé Atlantique, Saint Herblain, France.<br /><searchLink fieldCode="AU" term="%22Gonzalez+Estevez+M%22">Gonzalez Estevez M</searchLink>; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Jeanne de Flandre Maternity Hospital, Lille University Hospital, Lille, France.<br /><searchLink fieldCode="AU" term="%22Julliac+B%22">Julliac B</searchLink>; pôle d'anesthésie et réanimation, maison de santé protestante de bordeaux, Talence, France.<br /><searchLink fieldCode="AU" term="%22Korb+D%22">Korb D</searchLink>; Département de Gynécologie-Obstétrique, Hopital Robert Debré, APHP, Paris, France.<br /><searchLink fieldCode="AU" term="%22Le+Gouez+A%22">Le Gouez A</searchLink>; Département d'anesthésie-réanimation, Hôpital Antoine Béclère AP-HP, Clamart, France.<br /><searchLink fieldCode="AU" term="%22Rackelboom+T%22">Rackelboom T</searchLink>; Department of Anaesthesia, Martinique University Hospital, 97261 Fort-de-France, France.<br /><searchLink fieldCode="AU" term="%22Rigollet+LP%22">Rigollet LP</searchLink>; service d'obstétrique CHU Rennes, France.<br /><searchLink fieldCode="AU" term="%22Roger-Christoph+S%22">Roger-Christoph S</searchLink>; Anesthésie-Réanimation, Hôpital Privé d'Antony, 92160 Antony, France.<br /><searchLink fieldCode="AU" term="%22Salaun+JP%22">Salaun JP</searchLink>; Department of Anesthesiology and Critical Care Medicine, CHU Caen, Caen-Normandie University Hospital, Caen, France; Institut Blood and Brain @Caen-Normandie (BB@C), UMR-S U1237/Physiopathology and Imaging of Neurological Disorders (PhIND), Normandie Univ, UNICAEN, INSERM, GIP Cyceron, Caen, France.<br /><searchLink fieldCode="AU" term="%22Souyri+V%22">Souyri V</searchLink>; Service Prévention du risque infectieux, AP-HP, Paris - Conseil scientifique de la Société française d'Hygiène Hospitalière (SF2H), France.<br /><searchLink fieldCode="AU" term="%22Susen+S%22">Susen S</searchLink>; Univ. Lille, Inserm, Hematology and Transfusion Department, CHU Lille, Institut Pasteur de Lille, U1011- EGID, F-59000 Lille, France.<br /><searchLink fieldCode="AU" term="%22Tharwat+D%22">Tharwat D</searchLink>; Service d'obstétrique, maternité des Diaconesses, Paris, France.<br /><searchLink fieldCode="AU" term="%22Vantalon+AH%22">Vantalon AH</searchLink>; Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Vannes, France.<br /><searchLink fieldCode="AU" term="%22Vial+F%22">Vial F</searchLink>; Department of Anaesthesia and Intensive Care, Maternité Régionale Universitaire de Nancy, CHRU de Nancy, France.<br /><searchLink fieldCode="AU" term="%22Verspyck+É%22">Verspyck É</searchLink>; Département de Gynécologie-Obstétrique, CHU de Rouen, France.<br /><searchLink fieldCode="AU" term="%22Dumont+M%22">Dumont M</searchLink>; Department of Anaesthesiology and Critical Care Medecine, Burn center, CHU Pellegrin, Bordeaux University, Bordeaux, France.<br /><searchLink fieldCode="AU" term="%22Michelet+D%22">Michelet D</searchLink>; Department of Anaesthesia and Intensive Care, CHU de Reims and Cognition, Santé, Societé - C2S laboratory, Reims Champagne Ardenne University, Reims, France.
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