The Resource Nitrous oxide for the management of labor pain, prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by Vanderbilt University Evidence-based Practice Center, Institute of Medicine and Public Health ; investigators, Frances E. Likis [and others], (electronic resource)

Nitrous oxide for the management of labor pain, prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by Vanderbilt University Evidence-based Practice Center, Institute of Medicine and Public Health ; investigators, Frances E. Likis [and others], (electronic resource)

Label
Nitrous oxide for the management of labor pain
Title
Nitrous oxide for the management of labor pain
Statement of responsibility
prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by Vanderbilt University Evidence-based Practice Center, Institute of Medicine and Public Health ; investigators, Frances E. Likis [and others]
Contributor
Subject
Genre
Language
eng
Summary
Objectives: The Vanderbilt Evidence-based Practice Center systematically reviewed evidence addressing the use of nitrous oxide for the management of labor pain. Data Sources: We searched the MEDLINE®, Embase, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases for articles published in English. Review Methods: We excluded studies that did not address a Key Question, were not original research, or had fewer than 20 participants. We identified a total of 58 publications, representing 59 distinct study populations: 2 of good quality, 11 fair, and 46 poor. Results: Inhalation of nitrous oxide provided less effective pain relief than epidural analgesia, but the quality of studies was predominately poor. The heterogeneous outcomes used to assess women's satisfaction with their birth experience and labor pain management made synthesis of studies difficult. The strength of evidence was insufficient to determine the effect of nitrous oxide on route of birth. Most maternal harms reported in the literature were unpleasant side effects that affect tolerability (e.g., nausea, vomiting, dizziness, and drowsiness). Apgar scores in newborns whose mothers used nitrous oxide were similar to those of newborns whose mothers used other labor pain management methods or no analgesia. Evidence about occupational harms and exposure was limited. Conclusions: The literature addressing nitrous oxide for the management of labor pain has few studies of good or fair quality. Synthesis of effectiveness and satisfaction studies is challenging because of heterogeneous interventions, comparators, and outcome measures. Research assessing nitrous oxide is needed across all of the Key Questions addressed: effectiveness, women's satisfaction, route of birth, harms, and health system factors affecting use
Member of
Cataloging source
MMU
Funding information
Conducted by the Vanderbilt Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ)
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
NLM call number
WO 450
http://library.link/vocab/relatedWorkOrContributorName
  • Likis, Frances E
  • United States
  • Vanderbilt Evidence-based Practice Center
  • Effective Health Care Program (U.S.)
Series statement
  • Comparative effectiveness review
  • AHRQ publication
Series volume
  • no. 67
  • no. 12-EHC071-EF
http://library.link/vocab/subjectName
  • Analgesia, Obstetrical
  • Nitrous Oxide
  • Evidence-Based Medicine
  • Labor Pain
http://bibfra.me/vocab/relation/supportingbody
RzTDSdffmEM
Label
Nitrous oxide for the management of labor pain, prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by Vanderbilt University Evidence-based Practice Center, Institute of Medicine and Public Health ; investigators, Frances E. Likis [and others], (electronic resource)
Instantiates
Publication
Note
"August 2012."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
823515298
Extent
1 online resource (365 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations
Specific material designation
remote
System control number
(OCoLC)823515298
Label
Nitrous oxide for the management of labor pain, prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by Vanderbilt University Evidence-based Practice Center, Institute of Medicine and Public Health ; investigators, Frances E. Likis [and others], (electronic resource)
Publication
Note
"August 2012."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
823515298
Extent
1 online resource (365 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations
Specific material designation
remote
System control number
(OCoLC)823515298

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