Best Practice
Pain management while pregnant and breastfeeding
This week’s EBN Twitter chat on Wednesday, 19vol April at 8pm UK time will give attention to pain while pregnant and the way vital and difficult it’s to treat pain while pregnant and breastfeeding.
The Twitter chat will likely be hosted by Dr. Massimo Allegri, Assistant Professor in Intensive Care Anesthesia and Pain Medicine on the University of Parma (Italy), @allegri_massimo. Participating within the Twitter chat requires a Twitter account; If you do not have one yet, you’ll be able to create an account on www.twitter.com. Once you might have an account, contributing is easyhtforward, You can follow the discussion by trying to find links to #ebnjcor get entangled by creating and sending a tweet (tweets are text messages limited to 140 characters) to @EBNursingBMJ and add #ebnjc (EBN chat hash tag) at the tip of your tweet, so all participants will find a way to see your tweets.
The Pain Department of the University Hospital of Parma is one in all the most important pain clinics in Italy and crucial research center for acute and chronic pain in Italy and some of the vital in Europe.
Moreover, next yr a brand new doctoral position in the sector of pain on the subject of chronic pain and central sensitization will likely be established along with the University of Alboorg and Professor Lars Arendt Nielsen. In addition, the University of Parma organizes one in all the world’s most significant meetings on translational pain: SIMPAR (www.simpar-pain.com).
Pain affects 20% of the adult population, worsening not only the standard of life but in addition the outcomes of patients searching for treatment. Unfortunately, pain continues to be undertreated and under-recognized. Chronic pain just isn’t only a symptom, but an actual disease requiring accurate diagnosis and appropriate treatment against the pathophysiology of the pain generator.
This problem becomes much more vital while pregnant and breastfeeding. Fear of administering drugs which will harm the fetus/newbornmay lead the doctor to take a “wait and see” approach that won’t find a way to unravel the mother’s problem. Additionally, several physiological changes occur while pregnant that may worsen previous pain or trigger latest pain. Finally, all drugs are obviously off-label and it’s difficult to accurately determine their actual toxicity.
On Wednesday nineteenthvol In April, we’ll proceed the conversation on Twitter to contemplate the best way to provide therapy to patients while pregnant and breastfeeding. Together we’ll discuss what multidisciplinary approach could also be useful and the way vital it’s to diagnose the suitable pathophysiological mechanism that triggers acute or chronic pain:
- What drug classifications might lead clinicians to make use of these drugs for pain relief?
- When is using certain medications more harmful?
- What concerns ought to be considered when administering the drug to a breastfeeding mother?
- How to perform proper pathophysiological diagnosis?
- Do we’d like to stop taking certain medications if women wish to get pregnant?
We invite you to debate this vital challenge in medicine, nursing and public health.
Bibliography
1 Coluzzi F, Valensise H, Sacco M, Allegri M Chronic pain management while pregnant and lactation. Minerva Anestesiol. 2014 Feb;80(2):211-24.
2 Narayan B, Nelson-Piercy C. Health problems while pregnant. Clin Med (London). 2016 December; 16 (complement 6): p110-s116.
3 Tepper D. Pregnancy and lactation – migraine treatment. Headache. 2015 Apr;55(4):607-8.
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