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Reproduction > Pain Relief in Labour > Flashcards

Pain Relief in Labour Flashcards

1
Q

What is a form drug free pain relief in labour?

A

Entonox

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2
Q

What is entonox?

A

Gas and air

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3
Q

How does entonox work?

A

Start taking deep breaths as soon as the contractions start

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4
Q

How long does entonox take to work?

A

30 seconds

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5
Q

What are the advantages of entonox?

A

Under the patients control
Quick acting
Helps the patient cope better

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6
Q

What are the disadvantages of entonox?

A

Patient may feel dizzy, sick and dry mouthed

It doesn’t take away all the pain

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7
Q

What is Diamorphine?

A

Strong, pain relieving medication

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8
Q

How do you administer diamorphine?

A

Injection at the top of the leg

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9
Q

What are the advantages of diamorphine?

A

Works in 30 minutes and can last up to 4 hours

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10
Q

What are the disadvantages of diamorphine?

A

Make the patient feel sick

Can make you feel sleepy and slow down your breathing

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11
Q

What effect can diamorphine have on the baby?

A

It can cause the baby’s breathing to slow down also

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12
Q

What is a PCA pump?

A

Patient Controlled Analgesia Pump

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13
Q

What does a PCA pump contain?

A

Remifentanil

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14
Q

What is remifentanil?

A

Strong morphine like pain medication

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15
Q

What are the advantages of remifentanil?

A

Patient in control of pain
Works quickly and wears off quickly so can time it with contractions
Strong effect on relieving pain

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16
Q

What are the disadvantages of remifentanil?

A

Can slow down breathing
may feel sick, drowsy and itchy
Can’t walk around when you start using pump

17
Q

When can you not have remifentanil?

A

If you have had diamorphine in the last 4 hours

18
Q

What might you need if you’re on remifentanil?

A

Oxygen and monitoring

19
Q

What is an epidural?

A

Local anaesthetic given through a small tube in the back?

20
Q

How long does an epidural take to work?

A

20 minutes

21
Q

What are the advantages of an epidural?

A

Rarely affects the baby

Patient has control over their pain relief

22
Q

What are the disadvantages of an epidural?

A

Can slow the pushing phase of delivery
Possible drop in blood pressure
Itching or fever
Headache after epidural

23
Q

What are some serious but rare complications of an epidural?

A 
Temporary nerve damage- numb patch on leg or leg weakness
Nerve damage lasting more than 6 months 
Epidural abscess 
Meningitis 
Epidural haematoma 
Accidental unconsciousness

Reproduction (88 decks)

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