Overview Management of pain and unexpected outcomes Introduction to complimentary options for pain management Discussion of the medical forms of pain management including: • Nitrous oxide • Morphine • Epidural Possible unexpected outcomes, including: • Premature labour • Delivery other than normal vaginal e.g. breech or posterior position • Assisted birth e.g. ventouse or forceps • Elective and emergency caesarean section • Third Stage complications e.g. post partum haemorrhage (PPH) or retained placenta Induction of labour • Reasons for and disadvantages of induction • Methods of induction, including: - Prostin gel/Cervadil - Artificial rupture of membranes - Syntocinon infusion - Augmentation Pain is a normal physiological protective response which guides your body. It lets your body know you are in labour and tells you how the labour is progressing. Your body will produce endorphins (nature’s pain relief) to help you cope with the pain of labour. Additional relief can be sought using complimentary and medical methods, which may be used in combination. Natural forms of pain relief • Distraction • Massage • Breathing techniques • Listening to music • Water immersion (bathing) at home • Showering These methods will increase the body’s production of endorphins and help reduce your perception of pain. Non-Pharmocological pain relief are used in labour to reduce back pain TENS (Transcutaneous electrical nerve stimulation) used to reduce pain in labour. Patient needs to supply own machine. Sterile water injections are used in labour to reduce back pain. The type of pain management required for labour and delivery will be different for each woman. 18 Mitcham Maternity Childbirth and Parent Education
Mitcham Private Hospital Childbirth and Parent Ed Book
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