Skip to main content
SpringerLink
Log in

Schmerztherapie bei Schwangeren

Praktische Schmerzmedizin

  • 61 Accesses

Zusammenfassung

Zu unterscheiden sind Geburtsschmerzen von Schmerzen während der Schwangerschaft, die wiederum mit der Schwangerschaft in Zusammenhang stehen können, aber nicht müssen. Mit wenigen Ausnahmen überwinden alle Fremdsubstanzen die Plazentaschranke, sodass der therapeutische Nutzen für die Mutter gegen ein potenzielles Risiko für ihr Baby abgewogen werden muss.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Literatur

  • Babaknia A, Parsa H, Woodruff JD (1977) Appendicitis during pregnancy. Obstet Gynecol 50: 40–44

    CAS  PubMed  Google Scholar 

  • Bajaj P, Bajaj P, Madsen H, Arendt-Nielsen L (2002) A comparison of modality-specific somatosensory changes during menstruation in dysmenorrheic and nondysmenorrheic women. Clin J Pain 18: 180–190

    Article  PubMed  Google Scholar 

  • Blednov YA, Stoffel M, Alva H, Harris RA (2003) A pervasive mechanism for analgesia: activation of GIRK2 channels. PNAS 100: 277–282

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Briggs GG, Freeman RK, Yaffe SJ (2008) A reference guide to fetal and neonatal risk. Drugs in pregnancy and lactation, 9th ed. Lippincott Williams & Williams, Philadelphia

    Google Scholar 

  • Camorcia M, Capogna G, Columb MO (2011) Effect of sex and pregnancy on the potency of intrathecal bupivacaine: determination of ED50 for motor block with the up-down sequential allocation method. Eur J Anaesthesiol 28: 240–244

    CAS  PubMed  Google Scholar 

  • Campbell JC (2002) Health consequences of intimate partner violence. Lancet 359: 1331–1336

    Article  PubMed  Google Scholar 

  • Dao TT, LeResche L (2000) Gender differences in pain. J Orofac Pain 14: 169–184

    CAS  PubMed  Google Scholar 

  • Fillingim RB, Maixner W, Kincaid S, Silva S (1998) Sex differences in temporal summation but not sensory-discriminative processing of thermal pain. Pain 75: 121–127

    Article  CAS  PubMed  Google Scholar 

  • Fuller JG, Janzen J, Gambling DR (1989) Epidural analgesia in the management of symptomatic symphysis pubis diastasis. Obstet Gynecol 73: 855–857

    CAS  PubMed  Google Scholar 

  • Gintzler AR (1980) Endorphin-mediated increases in pain threshold during pregnancy. Science 210: 193–135

    Article  CAS  PubMed  Google Scholar 

  • Gurbuz AT, Peetz ME (1997) The acute abdomen in the pregnant patient. Is there a role for laparoscopy? Surg Endosc 11: 98–102

    Article  CAS  PubMed  Google Scholar 

  • Hill MN, Johnson CE, Lee RA (1975) Cholecystectomy in pregnancy. Obstet Gynecol 46: 291–295

    CAS  PubMed  Google Scholar 

  • Houghton LA, Lea R, Jackson N, Whorwell PJ (2002) The menstrual cycle affects rectal sensitivity in patients with irritable bowel syndrome but not healthy volunteers. Gut 50: 471–474

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Iwasaki H, Collins JG, Saito Y, Kerman-Hinds A (1991a) Naloxone-sensitive, pregnancy-induced changes in behavioral responses to colorectal distention: pregnancy-induced analgesia to visceral stimulation. Anesthesiology 74: 927–933

    Article  CAS  PubMed  Google Scholar 

  • Iwasaki H, Collins JG, Saito Y, Uchida H, Kerman-Hinds A (1991b) Low-dose clonidine enhances pregnancy-induced analgesia to visceral but not somatic stimuli in rats. Anesth Analg 72: 325–329

    Article  CAS  PubMed  Google Scholar 

  • Jarvis S, McLean KA, Chirnside J, Deans LA, Calvert SK, Molony V, Lawrence AB (1997) Opioid-mediated changes in nociceptive threshold during pregnancy and parturition in the sow. Pain 72: 153–159

    Article  CAS  PubMed  Google Scholar 

  • Kest B, Sarton E, Dahan A (2000) Gender differences in opioid-mediated analgesia: animal and human studies. Anesthesiology 93: 539–547

    Article  CAS  PubMed  Google Scholar 

  • LaBan MM, Perrin JC, Latimer FR (1983) Pregnancy and the herniated lumbar disc. Arch Phys Med Rehabil 64: 319–321

    CAS  PubMed  Google Scholar 

  • MacLennan AH, Nicolson R, Green RC, Bath M (1986) Serum relaxin and pelvic pain of pregnancy. Lancet 2: 243–245

    Article  CAS  PubMed  Google Scholar 

  • Mendell LM, Wall PD (1965) Responses of single dorsal horn cells to peripheral cutaneous unmyelinated fibers. Nature (Lond) 206: 97–99

    Article  CAS  Google Scholar 

  • Mitrovic I, Margaret-Mitrovic M, Bader S, Stoffel M, Jan Ly, Basbaum AI M (2003) Contribution of GIRK2-mediated postsynaptic signalling to opiate and α2-adrenergic analgesia and analgesic sex differences. PNAS 100: 271–276

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Østensen ME, Skomsvoll JF (2004) Anti-inflammatory pharmacotherapy during pregnancy. Expert Opin. Pharmacother 5: 571–580

    Article  PubMed  Google Scholar 

  • Ostgaard HC, Andersson GB, Karlsson K (1991) Prevalence of back pain in pregnancy. Spine 16: 549–552

    Article  CAS  PubMed  Google Scholar 

  • Ren K (1994) Wind-up and the NMDA receptor: from animal studies to humans. Pain 59: 157–158

    Article  CAS  PubMed  Google Scholar 

  • Riley JL 3rd, Robinson ME, Wise EA, Myers CD, Fillingim RB (1998) Sex differences in the perception of noxious experimental stimuli: a meta-analysis. Pain 74: 181–187

    Article  PubMed  Google Scholar 

  • Samlaska S, Dews TE (1995) Long-term epidural analgesia for pregnancy-induced intercostal neuralgia. Pain 62: 245–248

    Article  CAS  PubMed  Google Scholar 

  • Sander HW, Kream RM, Gintzler AR (1989) Spinal dynorphin involvement in the analgesia of pregnancy: effects of intrathecal dynorphin antisera. Eur J Pharmacol 159: 205–209

    Article  CAS  PubMed  Google Scholar 

  • Sandner-Kiesling A, Eisenach JC (2002) Estrogen reduces efficacy of mu- but not kappa-opioid agonist inhibition in response to uterine cervical distension. Anesthesiology 96: 375–380

    Article  CAS  PubMed  Google Scholar 

  • Sarlani E, Greenspan JD (2002) Gender differences in temporal summation of mechanically evoked pain. Pain 97: 163–169

    Article  PubMed  Google Scholar 

  • Schneider MC (2002) Analgesie unter der Geburt: Vom Tabu zur Evidence based medicine. Anaesthesist 51: 959–972

    Article  CAS  PubMed  Google Scholar 

  • Thomas IL, Nicklin J, Pollock H, Faulkner K (1989) Evaluation of a maternity cushion (Ozzlo pillow) for backache and insomnia in late pregnancy. Aust N Z J Obstet Gynaecol 29: 133–138

    Article  CAS  PubMed  Google Scholar 

  • Upadhyay A, Stanten S, Kazantsev G, Horoupian R, Stanten A (2007) Laparoscopic management of a nonobstetric emergency on the third trimester of pregnancy. Surg Endosc 21:1344–1348

    Article  CAS  PubMed  Google Scholar 

  • World Health Organization (1986) Cancer pain relief. Geneva

    Google Scholar 

  • Young G, Jewell D (2002) Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database Syst Rev CD001139

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Departement Anästhesie, Universitätsfrauenklinik Universitätsspital Basel, Spitalstr. 21, 4031, Basel, Schweiz

    Markus C. Schneider & Thierry Girard

Authors
  1. Markus C. Schneider
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Thierry Girard
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Markus C. Schneider .

Editor information

Editors and Affiliations

  1. Klinik für Neurologie, Universitätsklinikum Kiel, Kiel, Germany

    Ralf Baron

  2. Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover, Germany

    Wolfgang Koppert

  3. Göttingen, Germany

    Michael Strumpf

  4. Universitätsmedizin Göttingen, Göttingen, Germany

    Anne Willweber-Strumpf

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this entry

Cite this entry

Schneider, M.C., Girard, T. (2014). Schmerztherapie bei Schwangeren. In: Baron, R., Koppert, W., Strumpf, M., Willweber-Strumpf, A. (eds) Praktische Schmerzmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54670-9_33-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54670-9_33-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-54670-9

  • eBook Packages: Springer Referenz Medizin

Publish with us

Policies and ethics

Chapter history

  1. Latest

    Schmerztherapie bei Schwangeren
    Published:
    21 December 2017

    DOI: https://doi.org/10.1007/978-3-642-54670-9_33-2

  2. Original

    Schmerztherapie bei Schwangeren
    Published:
    07 November 2014

    DOI: https://doi.org/10.1007/978-3-642-54670-9_33-1

Search

Navigation