Clinical aspects of anesthesia in childbirth

The systematic analysis presents modern data on the effect of the analgesic component of various types of anesthesia on labor. During the analysis of publications localized in foreign and domestic scientific databases (PubMed, Cochrane, elibrary), 46 articles were selected after the initial identification of scientific publications, applying inclusion and exclusion criteria. The conducted systematic analysis allows us to formulate the conclusion that among a number of anesthesia methods used in natural childbirth, epidural anesthesia is the most applicable, and levobupivacaine is the drug of choice, which has the most differentiated motor block, lower cardio and neurotoxicity compared to other local anesthetics. A number of authors have demonstrated the advantages of non-neuroaxial methods. A significant part of the studies conducted have shown the effectiveness of intravenous opioids, but their use is associated with a number of side effects on the mother’s body.