Pain Relief During Labor. Lecture 7. Principles of Pain Relief. Treatments for pain relief during labor depends on: 1. client’s tolerance for pain 2. ability to focus on labor 3. ability to remain motivated. Some of labor process done @ home:
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Treatments for pain relief during labor depends on:
1. client’s tolerance for pain
2. ability to focus on labor
3. ability to remain motivated.
Some of labor process done @ home:
aromatherapy, warm bath, music, visualization, breathing exercises,
massage. hypnosis, acupuncture. ~ 70% clients ask for epidural
Method of Pain Relief Should Exhibit:
Monitor client closely: B/P, Pulse, RR, FHR, anesthetic levels,
Analgesia: loss of sensitivity to pain.
Meperidine (Demerol) and Promethazine (Phenergan)
Butorphanol (Stadol) 1-2 mg IVP/IM x2.
Nalbuphine (Nubain) – 15-20 mg IVP/IM
Fentanyl –short-acting potent synthetic opioid.
Anesthesia: reversible loss of sensation & movement in region of body.
Types of Anesthesia
nerves of spinal cord to block pain from larger but still
limited part of body.
1. Epidural Anesthesia
Usuallyuses Marcaine (bupivicaine) - into epidural space
at 3rd - 4th lumbar interspace.
Post-op Pain Management: administered either by IVP, IM or PCA (Patient control anesthesia) Medications such as:
C-sec → fetal distress, failed epidural/spinal/allergy