title: The use of opioids in a pregnant woman with lumbar disc herniation: a case report.
abstract: It is not easy to diagnose lumbar disc herniation during pregnancy due to the limitation of the examinations and it is also difficult to control the severe pain during this time. A pregnant woman with lumbar disc herniation was transferred to our hospital at the 23rd week of gestation. The pain was successfully controlled with opioids and epidural anesthesia. At the 35th week of gestation, she delivered a girl weighing 2316 g smoothly with an Apgar score of 8/9 without neonatal abstinence syndrome from morphine. In this case, opioid administration was found to be useful for perinatal care with lumbar disc herniation.
authors.affiliation: Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Fukuoka, Japan.
authors.forename: Emi
authors.initials: E
authors.lastname: Matsumoto
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Yoshimura
authors.forename: Eiichiro
authors.initials: E
authors.lastname: Nakamura
authors.forename: Toru
authors.initials: T
authors.lastname: Hachisuga
authors.forename: Masamichi
authors.initials: M
authors.lastname: Kashimura
mesh_terms: D000279:Administration, Cutaneous; D000284:Administration, Oral; D000328:Adult; D015360:Analgesia, Epidural; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage / Q000627:therapeutic use*; D005865:Gestational Age; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000188:drug therapy*; D050498:Live Birth; D008159:Lumbar Vertebrae; D009020:Morphine / Q000008:administration & dosage / Q000627:therapeutic use*; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D010147:Pain Measurement; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy*; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D000701:Analgesics, Opioid; D009020:Morphine; D005283:Fentanyl