{"id":1170,"date":"2017-04-16T22:00:15","date_gmt":"2017-04-16T22:00:15","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn\/?p=1170"},"modified":"2017-04-12T21:04:40","modified_gmt":"2017-04-12T21:04:40","slug":"treating-pain-during-pregnancy-and-breast-feeding","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn\/2017\/04\/16\/treating-pain-during-pregnancy-and-breast-feeding\/","title":{"rendered":"Treating pain during pregnancy and breast feeding"},"content":{"rendered":"

This week\u2019s EBN Twitter Chat on Weds 19th<\/sup> April at 8-9pm UK time will focus on pain during pregnancy, how important and difficult is to treat pain during pregnancy and breast feeding.<\/p>\n

The Twitter Chat will be hosted by\u00a0Dr Massimo Allegri, Assistant Professor in Anesthesia Intensive Care and Pain Medicine at the University of Parma (Italy),@allegri_massimo.\u00a0Participating in the Twitter chat requires a Twitter account; if you do not already have one you can create an account at www.twitter.com<\/a>. Once you have an account contributing is straig\"\"<\/a>htforward, You can follow the discussion by searching links to #ebnjc<\/a>, or contribute by creating and sending a tweet (tweets are text messages limited to 140 characters) to @EBNursingBMJ<\/a> and add #ebnjc<\/a> (the EBN chat hash tag) at the end of your tweet, this allows everyone taking part to view your tweets.<\/p>\n

The Pain Department of University Hospital of Parma is one of the biggest pain clinic in Italy and it is the most important research centre about acute ad chronic pain in Italy and one of the most important in Europe.<\/p>\n

Furthermore, next year a new PhD Position in Pain will be settled up together with Alborg University and Prof Lars Arendt Nielsen about chronic pain and central sensitization. Furthermore, University of Parma organizes one of the most important translational pain meeting in the world: SIMPAR (www.simpar-pain.com<\/a>).<\/p>\n

Pain affects 20% of adult population\u00a0worsening not only quality of life, but also outcome of patients who refer it. Unfortunately, pain continues to being undertreated and under-recognized. Chronic pain is not just a symptom but it is a real disease that needs an accurate diagnosis and appropriate therapy against the pain generator pathophysiology.<\/p>\n

This problem is even more important during pregnancy and breastfeeding. The fear to give drugs that can hurt foetus\/neon\"\"<\/a>ate can drive the physician to a \u201cwait and see\u201d approach that cannot solve the problem to the mother. Furthermore, during pregnancy there are several physiological changes that can worsen previous pain or generate new one. Finally, all the drugs are obviously off label and it is difficult to know exactly their real toxicity.<\/p>\n

On Wednesday 19th<\/sup> April during the twitter chat we will continue the conversation to consider how to drive the therapy for patients during pregnancy and breastfeeding. We will discuss all together which multidisciplinary approach could be useful and how important is to diagnose the right pathophysiological mechanism that triggers the acute or chronic pain:<\/p>\n