©Pregnancy bliss 2008

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Pregnancy and Childbirth: The answers
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Reproductive Health.
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Labor and birth.
Normal labor.
Abnormal labor.
Fetal monitoring.
Induction of labor.
Augmentation of labor.
Labor pain control.
Fetal distress.
Cesarean section.
VBAC.
Forceps and vacuum.
Shoulder dystocia.
Water-birth.

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Sumary overview of pain control options in labor

There are essential facts that any pregnant woman anticipating labor needs to know.

 

Ø Methods that do not use any kind of drugs are available. They are usually only really effective in the latent and early stages of labor. The TENS machine is the most common and well known.

 

Ø Entonox gas works fast and the effect wears off rapidly. It has to be used continuously to be really effective. It makes you sleepy and its effectiveness is limited and, for most, inadequate in established labor.

 

Ø Injection (systemic) painkillers such as Diamorphine and Pethidine are the most widely used painkillers in labor. Virtually all cause some degree of nausea and/or vomiting. They are also quite sedating. Opinion among women differs widely on their effectiveness; many find them adequate and others think they are almost totally useless.

 

Ø The epidural is by far the most effective method of pain relief in labor. In most cases it renders the woman completely pain-free. Drawbacks include being confined to bed and it may prolong the second stage of labor. It is extremely safe with occasional temporary side-effects. In a very few instances it doesn't work. It is also not suitable for everybody and there are medical conditions that contra-indicate its use.

 

Next Section: Abnormal labor and fetal distress