Open AccessComplex regional pain syndrome and pregnancy
Author(s) -
Anjan Trikha,
Dalim Kumar Baidya,
Preet Mohinder Singh
Publication year - 2012
Publication title -
journal of obstetric anaesthesia and critical care/journal of obstetric anaesthesia and critial care
Language(s) - English
Resource type - Journals
eISSN - 2249-9539
pISSN - 2249-4472
DOI - 10.4103/2249-4472.104730
Subject(s) - medicine , complex regional pain syndrome , pregnancy , obstetrics and gynaecology , pain management , chronic pain , pain medicine , transcutaneous electrical nerve stimulation , obstetrics , anesthesia , intensive care medicine , anesthesiology , physical therapy , alternative medicine , genetics , pathology , biology
Complex regional pain syndrome (CRPS) is a chronic pain condition predominantly affecting females of the reproductive age group. Association of CRPS and pregnancy has been increasingly reported in recent literature. Anesthesiologist and chronic pain physician may be involved in the management of CRPS during pregnancy and for peripartum anesthesia management for vaginal delivery or cesarean section. Any woman suffering from CRPS should be counseled about the limited therapeutic options available during pregnancy. Medical management of CRPS is complicated by risk to breast-fed babies and teratogenicity to fetus. However, interventional management in the form of transcutaneous electrical nerve stimulation and spinal cord stimulation may be used with due precautions. Multidisciplinary involvement of obstetrician, anesthesiologist, pain physician, and neonatologist is important to ensure successful outcome