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Women's Health > Pain relief in labour > Flashcards

Pain relief in labour Flashcards

1
Q

What are the pharmacological options for pain relief

A
  1. nitrous oxide
  2. narcotics: pethidine, diamorphine
  3. pudendal nerve block w lidocaine
  4. LA w lidocaine
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2
Q

What are CI of nitrous oxide

A

pneumothorax

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3
Q

What are SE of nitrous oxide

A

N&V, feeling faint

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4
Q

What are SE of narcotics for mother

A

− Drowsiness

− N&V

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5
Q

What are SE of narcotics for baby

A

− Short term resp depression

− Drowsiness lasting for several days

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6
Q

How should narcotic be given

A

IM or IV

w antiemetic - cyclizine

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7
Q

What nerves are blocked in pudendal nerve block

A

sacral nerve roots 2 3 and 4

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8
Q

Where is LA injected

what is it indicated for

A

perineum

before episiotomy and suturing vaginal tears

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9
Q

What are the three regional anaesthesia options

A
  1. epidural
  2. combined spinal epidural
  3. spinal
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10
Q

What pain fibres are anaesthetised w an epidural

A

T10-S5

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11
Q

What are complications of epidural

A

− Failure to site
− Patchy block
− Hypotension
− Dural puncture

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12
Q

what space is epidural injected into

A

L3/4

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13
Q

wWhat is a common SE of epidural

A

fetal bradycardia due to maternal hypotension

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14
Q

How often are top ups of epidural required

A

every 2 hrs

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15
Q

How long do you have to wait after giving heparin before inserting block

A

12

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16
Q

How long do you have to wait after block before next dose of LMWH

A

4h

17
Q

What is an advantage of combined spinal epidural

A

gives quicker pain relief

can cover a prolonged CS

18
Q

When is spinal most commonly used

A

LSCS

19
Q

What are disadvantages of spinals

A

due to being a single injection may wear off if the procedure is prolonged
can cause more profound hypotension compared w epidural

20
Q

Which pain relief is used to help lower BP in preeclampsia

A

epidural

21
Q

What are non-pharmacological forms of pain relief?

A
  1. Water birth

2. Transcutaneous electrical nerve stimulation

Women's Health (65 decks)

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