10: Analgesia

Question 1

Hospital procedures if need to transfer

Answer 1

get in touch with charge nurse
give pertinent info
transfer by private car
make sure all medical records are up to date
EFM started and IV and blood work
cervical dilation checked
pain managment discussed
labor plan discussed

Question 2

Systemic analgesics

Answer 2

narcotic agonists -dont eliminate pain, just make women docile; short-term relief with inhibited fetal respirations
& narcotic agonist antagonists

Question 3

Regional: epidural meds

Answer 3

Ropivacaine and morphine/fentanyl

Question 4

Epidural Advantages

Answer 4

provides pain relief in 1st and 2nd stages
anesthesia for interventions (episiotomy, instrument, perineal repair)
avoid (IV) opiod maternal & neonatal resp depression

Question 5

Epidural Disadvantages

Answer 5

hypotension, fever, post-dural HA, increase labor length, pruritis

Question 6

Epidural Contraindications

Answer 6

refractory maternal hypotension, coagulopathy, maternal bacteremia