Test 2 Intrapartumn Pain (Labor) Flashcards
Pain meds may not be given if baby has…
Absent / minimal variability
Not using an Epidural the woman will have these benefits
Ability to ambulation
No Foley catheter
Non drug pain relief releases these in the body to combat pain
Endorphins
(Decreasing or Increasing) catecholamines will enhance uterine perfusion and oxygen to fetus
Decrease
Catecholamines = Stess hormones and shunt blood to vital organs
Fear, tension, ____ cycle
Pain
Gait control theory for pain
Explain
Bombard patients senses to stop the pain sensation from coming through.
Only so many sense can come through at once
Does placebo affect help
Yes
Pelvic rocking
Which yoga posistions help facilitate this…
Cat & Cow
Rebozzo
Scarf or sheet used to shift belly or hips
Light or near touch to manipulation of energy field
Reiki
TENS
Electro stimulation of nerves through skin
Essential oils use.
Pain
Lavender
Jasmine
Eucalyptus
Frankincense
Roman chamomile
Essential oils use.
Relaxation
Ylang ylang & Mandarin
Essential oils use.
Mood elevation
Lemon
Essential oils use.
N/V
Peppermint
In whom is peppermint oil Contradicted
Causes vasoconstriction
Contradicted in HTN &, children due to respiratory system irritation
Effleurage …
Fingertip massage
Occipital posterior posistion
Which tech might be most helpful
Hip squeeze & Sacral Pressure
Hypnobirthing laws
For every thought there is a chemical response in the body
Think positive about what you want to happen
Repetition provides positive conditioning
While the mind is highly motivated the body will respond properly
Law of psycho-physical response
For every thought there is a chemical response in the body
Law of harmonious attraction
Think positive about what you want to happen
Law of Repetition
Repetition provides positive conditioning
Law of motivation
While the mind is highly motivated the body will respond properly
Nalbuphine and butorphanol
Are used for…
Opiods before giving Epidural.
Lower risk of respiratory depression
Which procedure will a spnial pain relief be used
Scheduled C/S
Nalbuphine - More popular
Butorphanol (Stadol)
Dose….
Onset…
Duration….
SE…..
Dose 5 - 10 mg every 3-6 hrs IV, SQ, IM
Onset IV 2 - 3 Min IM <15
Duration labor 2 - 3 hrs
SE opioid SE
FALL RISK
Nubain / Stadol
Don’t give when…
<2 hrs of delivery
Butorphanol (Stadol)
Has this precaution
Lowers seizure threshold
Important for eclampsia
Best started during active labor (Spinal / Epidural)
Just prior to CS (Spinal / Epidural)
Best started during active labor (Epidural)
Just prior to CS (Spinal)
Insertion site for Spinal / Epidural
L3 - L4
Epidural/ Spinal
Risks
Contradictions
Risks
Hypotension (IVF Bolus), decreased placental flow / Late Decelerations, Puncture of Dura
High Spinal cause resp distress
Infection
Paralysis/ Seizures
Contradictions
Coagulation disorder
Infection at site
Hypotension
Some NS diseases
STAT CS why no spinal
Put mom to sleep, quicker
Which goes in deeper Spinal Block or Epidural Block
Spinal Block goes in deeper
Before a mom can be moved to post partum feeling needs to return to which part of the Spine / Body
T 10
Ensure mom can feel touch down from shoulder to belly button
Leaking of CS Fluid from Spinal / Epidural can give a bad headache.
Keep in this position to relieve headache
To correct this problem…
Blood patch
Laying down
Blood from arm is injected into leaky spine
Spinal Duramorph
Opiod pain relief
Last…
Use…
24 hrs
Use. Postop pain relief
Respiratory Depression
Alert MD If RR <
12
Epidural (Foley / Straight Cath)
Spinal (Foley / Straight Cath)
Epidural Straight Cath
Spinal Foley - Due to CS
