Effects of Meperidine as a Pain Relief Method during Labor

Abstract

Alterations in coagulation and decreased platelets are a frequent finding during pregnancy. This case presents an alteration of the PY2 pump of the platelets that contraindicates epidural analgesia and therefore the use of opioids such as meperidine is an option for the treatment of pain during childbirth.

Objective: To show a clinical case of a pregnant woman in whom meperidine was administered as a pain relief method during labor.

Presentation of the case: A full-term pregnant woman in the process of induction of labor who is administered meperidine to relieve pain during labor. A normal delivery occurs after which it is necessary to perform advanced neonatal resuscitation maneuvers due to respiratory depression in the newborn.

Conclusions: The efficacy of meperidine has been proven in various studies, but if the expulsive process is expected to occur within one hour or after four hours from its administration, the use of other drugs such as fentanyl or paracetamol should be considered given the results. similar, to avoid complications such as neonatal respiratory depression at birth.