Question

management of labor and pain management in child birth"    essay

Answer 1

Childbirth may be a painful experience. All women respond differently to childbirth. While few women avoid drugs or other medical assistance, others resort to all or any available options. For a mother who has her first baby, the experience of childbirth (and her reaction to it) is unbearable and not predictable.

That is why; it's required to remember of the remedies of pain relief that are available and to find out about the various methods of being at relief. you'll create an idea for a way you hope to manage your childbirth, and it's good to be able to be malleable.
By constant R&D, experiments that are being conducted, there are few non-drug pain relief options:
• it's essential to be physically fit and in do gentle pelvic exercises during pregnancy. Pregnant mothers should avoid cigarettes and alcohol and eat a healthy diet.
• it's good to possess the knowledge of what would happen during pregnancy and the way to deal with pregnancy so pregnancy related workshop or classes would be advised for first time mothers
• Breathing techniques may assist you to ‘ride the waves’ of every contraction.
• Using distractions like music can help to require your mind off the pain which could include application of Hot or cold packs, massage, a warm shower
• Little is understood about Hypnosis, acupuncture and acupressure but these could also be considered also.
We have Transcutaneous electrical nerve stimulation, a way during which nerves within the lower back are stimulated employing a small hand-held device controlled by the lady . this system has no side effects for mother or baby and most girls find it helpful either alone or together with other methods of pain relief.
There are three medical pain-relieving options for labour include:
• laughing gas
Nitrous oxide, mentioned as ‘laughing gas’, is mixed with oxygen and administered to the mother through a mask or a tube held within the mouth. The gas takes a few of seconds to work , so it is vital to breathe from the mask as soon as a contraction starts.

Nitrous oxide doesn’t stop the pain entirely, but takes the ‘edge’ off the intensity of every contraction. many ladies prefer nitrous oxide because it allows them direct control – you'll hold the mask yourself and take deep breaths whenever you're feeling the need .

Nitrous oxide doesn’t obstruct with contractions and it doesn’t remain in either the mother’s or the baby’s body.

Possible problems with using laughing gas include:
• Nausea and vomiting
• Confusion and disorientation
• Claustrophobic sensations from the mask
• Lack of pain relief – in some cases, laughing gas doesn’t offer any pain relief in the least (this applies to around one-third of women).

• Pethidine
Pethidine is a strong pain reliever (similar to morphine and heroin) This is usually injected directly into a muscle within the buttock.Also it's going to even be administered intravenously (directly into a vein). The effect of Pethidine may last depending on different factors and women. Pethidine can cause you to feel sick, so anti-nausea medications are usually administered at an equivalent time.

Possible problems with pethidine for the mother include:
• Giddiness and nausea
• Disorientation and altered perception
• Respiratory depression (reduced breathing)
• Lack of pain relief, in some cases.
Possible problems with pethidine for the baby include:
• The stillborn when exposed to the drug via the duct and will experience respiratory depression at birth, particularly if several doses are given or the baby delivers soon after a pethidine injection. These effects are often reversed by an injection given to the baby.
• The baby’s sucking reflex can also be depressed, also as other normal reflexes. Debate persists over the results of pethidine on newborns.

• epidural anesthesia .
Epidural injections are the foremost effective pain relief available. they're used for vaginal births and also for caesarean sections, because they allow the mother to stay awake and alert during the baby’s birth. Anaesthetic is injected into the liner of the medulla spinalis through the rear , which makes the mother feel numb from the waist down. Your baby’s pulse are going to be monitored continuously.

There are few side effects and complications of epidural anesthesia and they are:
• The anaesthesia might not be complete and you'll still experience some pain. this might require the procedure to be repeated.
• After the epidural has been inserted, your vital sign may drop, causing you to feel faint and nauseated. this might also cause stress to your baby. this is often treated by giving intravenous fluid.
• An epidural often causes some muscle weakness within the legs, so women who have had an epidural anaesthetic could also be confined to bed.
• the shortage of sensation within the lower body means you'll not be ready to tell once you got to urinate. A urinary catheter are getting to be inserted in most cases.
• Epidurals tend to prolong the stages of labour.
• The likelihood of getting a traditional vaginal delivery is reduced.
• If you're unable to push effectively, thanks to altered sensation and reduced muscle strength, the baby may need to be delivered by forceps or vacuum cup.
• Around one per cent of girls experience headache immediately following the procedure.
• Few pregnant mothers experience itching after having an epidural. This could be effectively treated using antihistamines.
• Few pregnant women would experience pain or tenderness where the epidural was injected.
• Around one in 550 women experience ongoing patches of numbness on the rear near the injection site.
• Few complications would include infection, blood clots and difficulty breathing.
An epidural does not:
• Increase the length of the primary stage of labour
• Increase the likelihood of a cesarean delivery
• Cause long-term backache.