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Theresa Mallick-Searle (editor) - Holistic Pain Management in Pregnancy: What RNs, APRNs, Midwives and Mental Health Professionals Need to Know

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Theresa Mallick-Searle (editor) Holistic Pain Management in Pregnancy: What RNs, APRNs, Midwives and Mental Health Professionals Need to Know
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Holistic Pain Management in Pregnancy: What RNs, APRNs, Midwives and Mental Health Professionals Need to Know: summary, description and annotation

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This book presents a patient centric, holistic view and management strategy for registered nurses, advanced practice nurses and midwives to care for the pregnant female, including considerations in pregnancy planning. There is a significant gap in information about holistic care and nursing considerations of the pregnant female with regards to pain management, which this book fills.
It develops on the preparation before pregnancy, as nutrition or exercise, on behavioural management of pain with the impact of anxiety and different therapies. The book examines the musculoskeletal pain, the headache and fibromyalgia occurring during pregnancy. It also informs on the nutraceuticals in pregnancy, the use of opioids and of nerve blocks. This book finally explores complementary treatments during pregnancy.Case-studies are presented for improved understanding and to provide a real-world perspective. This book, written by nursing and psychology experts in their fields of specialty practice, will appeal to nurses and midwives working with pregnant women or planning to have a baby.

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Book cover of Holistic Pain Management in Pregnancy Editor Theresa - photo 1
Book cover of Holistic Pain Management in Pregnancy
Editor
Theresa Mallick-Searle
Holistic Pain Management in Pregnancy
What RNs, APRNs, Midwives and Mental Health Professionals Need to Know
The Springer logo Editor Theresa Mallick-Searle Division of Pain - photo 2

The Springer logo.

Editor
Theresa Mallick-Searle
Division of Pain Medicine, Stanford Health Care, Redwood City, CA, USA
ISBN 978-3-031-06321-3 e-ISBN 978-3-031-06322-0
https://doi.org/10.1007/978-3-031-06322-0
The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

In conducting my research for this book, along with my personal experiences as a registered nurse for over 25 years and a nurse practitioner in pain management for over 20, caring for patients with chronic and acute pain during pregnancy, I discovered a real need in the community to provide a practical education guide for the advanced practice registered nurse, bedside and clinic nurse, and Midwife. My objective is to provide the reader with the most up-to-date clinical information available on assessment and management of pain during pregnancy, applying a nurturing and holistic approach to the patient. An overview to the scope of the need, including a discussion on the use of opioids and the incidence of opioid use disorder will be covered. Things that you can do to help your patient in preparation for a healthy pregnancy will be reviewed, including optimization of diet, nutrition, fitness, mental health, and stabilization of chronic pain conditions. A few of the most common pain conditions that can present or worsen with pregnancy will be evaluated, including low back pain, pelvic girdle pain, migraine, and fibromyalgia.

Theresa Mallick-Searle
Redwood City, CA, USA
Contents
Theresa Mallick-Searle
Theresa Mallick-Searle
Theresa Mallick-Searle
Cynthia Belew
Valerie W. Jackson , Iulia Gambro Irina Ivan and Karen Choe
Laurel Short and Shannon DeSalvo
Theresa Mallick-Searle and Maureen Moriarty
Theresa Mallick-Searle
Theresa Mallick-Searle
Theresa Mallick-Searle
The Author(s), under exclusive license to Springer Nature Switzerland AG 2022
T. Mallick-Searle (ed.) Holistic Pain Management in Pregnancy https://doi.org/10.1007/978-3-031-06322-0_1
1. Introduction to Pain in Pregnancy
Theresa Mallick-Searle
(1)
Division of Pain Medicine, Stanford Health Care, Redwood City, CA, USA
Theresa Mallick-Searle
Email:
Keywords
Pain assessment Pain management Pregnancy
Pain is as common to being human as breathing. Pain is a physiologic response to the exposure of noxious stimuli that is built into our DNA [].
A representation of Neuromechanisms of pain The process involves injury - photo 3

A representation of Neuromechanisms of pain. The process involves injury, transmission along mixed fiber neurons, transmission along the spine up to the brain, descending pathway, and perception in the brain.

Fig. 1.1

Neuromechanisms of pain. (Adapted from CORE-REMS: Pain Management and Opioids: Balancing Risks and Benefits. WWW.CORE-REMS.ORG )

To best set the stage for a robust discussion about pain in pregnancy, we will spend some time here defining some basic concepts in pain. Pain is generally defined as being acute or chronic. Acute pain is pain that is anticipated, generally has a known cause, and is short-lived. Chronic pain is maintained pain that general outlasts its protective benefit, often has multiple causes, is associated with much emotional suffering and disability, is ongoing or recurrent, and continues beyond the anticipated time of tissue healing (36 months) [].
Table 1.1

Types of pain []

Nociceptive/inflammatory

Nociplastic

Neuropathic

Pain in response to injury or stimuli; typically acute

Pain arising from altered nociceptive function; typically chronic

Pain that develops when the nervous system is damaged; typically chronic

Examples: postoperative pain, sports injuries, arthritis, sickle cell disease, mechanical low back pain

Examples: fibromyalgia, irritable bowel syndrome, nonspecific low back pain

Examples: postherpetic neuralgia, trigeminal neuralgia, distal polyneuropathy, neuropathic low back pain

After 40 years, the IASP introduced a revised definition of pain, in the hopes that it would lead to improved assessment and management of those with pain. The new definition is: An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage []. This revised definition was put forth to try and encapsulate the subjective and objective nature of pain. A reflection that:
  • Pain is always a personal experience that is influenced to varying degrees by biological, psychological, and social factors.

  • Pain and nociception are different phenomena. Pain cannot be inferred solely from activity in sensory neurons.

  • Through their life experiences, individuals learn the concept of pain.

  • A persons report of an experience as pain should be respected.

  • Although pain usually serves an adaptive role, it may have adverse effects on function and social and psychological well-being.

  • Verbal description is only one of several behaviors to express pain; inability to communicate does not negate the possibility that a human or a nonhuman animal experiences pain [].

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