Pain relief in labour Flashcards
Non-pharmacological options:
Education in what?
Who may they choose to have by their side?
What is TENS? What does it postpone the need for?
Education on labour reduces fear
Breathing exercises and relaxation techniques
A birthing partner
Transcutaneous electrical nerve stimulation
Postpones the need for stronger analgesia
Non-pharmacological options:
Waterbirth:
- Why is this good?
- Why does the water temperature need to be checked hourly?
Reduces need for regional analgesia
To prevent maternal pyrexia
Parenteral:
Pethidine:
- What is it?
- Route of administration
- What stage of labour is it given in?
Remifentanil:
- What is it?
- Route of administration
- What is a PCA?
- What stage of labour is it given in?
Why are antiemetics given alongside these?
A side effect of both of these?
An opioid IM 1st stage of labour ---- An opioid IV Patient-controlled analgesia (PCA) Any stage
Causes N&V
Drowsiness
Inhaled analgesia:
Entonox:
- What is it?
- What respiratory emergency can it cause?
Nitrous oxide
Pneumothorax
Epidural injection:
What drug is given?
Where is the injection given?
How often should the mum and baby be monitored?
What can be put in to make sure it is topped of?
Lidocaine +/- opioids
T11-S5
Every 15 minutes
A catheter
Pudendal block:
What type of delivery is this done for?
What is injected? Where?
Instrumental delivery
Lidocaine injected into the pudendal canal
Spinal block:
What type of forceps is this needed for?
What type of delivery is this used for?
What is injected into the subarachnoid space?
What can it cause meaning an IV should be in place?
Spinal vs epidural:
- Which one is more reliable and faster to take effect?
- What is the risk of having a spinal block?
- What can be done to avoid above?
Kielland’s forceps (rotational)
CS
Fentanyl
SB
Higher risk of wearing off during CS as it can’t be topped off
Combining the 2
