Feliz Nochebuena y analgesia obstétrica

Snow en Navidad Snow - at Christmas Caroline M de Costa Medical Journal of Australia  2007; 187 (11/12): 690-692 Christmas this year will be marked for us by the arrival of our first grandchild, so as a mother and obstetrician I am receiving a steady stream of questions from my daughter on pregnancy-related matters - not the least of which relate to the use of analgesia in labour. At her antenatal classes, the advice has been to draw up a birth plan: warm baths, movement, partner support, and later, possibly, reluctantly, epidural ... But if I do want an epidural, she asks, will it be available even at Christmas? Christmas is also the time for celebrating the birth of Christ - which led me to wonder about the obstetric details of this event. There is little precise information available to us. Luke 2:4-7, though the author was himself a physician, gives but a brief historical account: ... Joseph ... went up ... unto ... Bethlehem ... with Mary his espoused wife, being great with child ... while they were there, the days were accomplished that she should be delivered. And she brought forth her firstborn son, and wrapped him in swaddling clothes, and laid him in a manger ... (All Bible quotations given here are from the King James Version.) http://www.mja.com.au/public/issues/187_11_031207/dec11139_fm.pdf  Nota sobre el método de morfina-hioscina para parto sin dolor. NOTE ON THE MORPHINE-HYOSCINE METHOD OF PAINLESS CHILDBIRTH. Martin AF. Br Med J. 1917 Jan 6;1(2923):12. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2347829/pdf/brmedj07082-0053a.pdf   Método de morfina-hioscina para el parto sin dolor: ó el denominado ¨Sueño crepuscular¨  THE MfORPHINE-HYOSCINE METHOD OF PAINLESS CHILDBIRTH. Haultain FW, Swift BH Br Med J. 1916 Oct 14;2(2911):513-5. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2354830/pdf/brmedj07070-0003.pdf

Atentamente Anestesiología y Medicina del Dolor www.anestesia-dolor.org