Analgesic strategy should be individualized for every parturient. Patients should understand risks and benefits, and make informed choices. Analgesia should be titrated. Entire loss of sensation is undesirable. Nonpharmacologic techniques of pain relief can be utilized.
Small doses can provide significant analgesia in first stage.
Can use many different drugs. Should minimize use. Prevention of dehydration and tendency to supine hypotension. Prevention of ketosis with glucose administration. Rapid portal for administration of meds, fluids and blood if needed.