Abstract
(Anaesthesia. 2021;76(suppl 1):136–147) Intrapartum and postpartum pain management is important to recovery from childbirth regardless of mode of delivery. While multimodal analgesia is often the first choice in cesarean delivery (CD), it may not always be suitable for all patients. As the availability of ultrasound grows, regional anesthesia may play a larger role in obstetric anesthesia. This narrative review aims to describe the current clinical applicability of regional nerve blocks for intrapartum analgesia for and recovery following CD. When possible, intrapartum nerve blocks are compared with placebo, systemic opioids and neuraxial techniques. Comparisons are made in terms of opioid consumption, pain scores, time to first analgesic use, quality of recovery scores, and incidence of adverse events.
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