AnatomyOrganismsDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPsychiatry and PsychologyPhenomena and ProcessesDisciplines and OccupationsAnthropology, Education, Sociology and Social PhenomenaHumanitiesNamed GroupsHealth Care
AnalgesiaAnalgesia, EpiduralLabor, ObstetricMoving and Lifting PatientsLabor, InducedAnalgesia, ObstetricalWandering BehaviorLabor PainPain ManagementAnalgesia, Patient-ControlledPain MeasurementAcute PainLabor OnsetObstetric NursingPsychological TechniquesAnalgesics, OpioidAnalgesicsObstetric Labor, PrematurePainPsychomotor AgitationPain, PostoperativeComplementary TherapiesSleep Initiation and Maintenance DisordersObstetric Labor ComplicationsRelaxation TherapyBupivacaineTranscutaneous Electric Nerve StimulationBehavior TherapyOncology NursingMorphineAnesthetics, LocalTrial of LaborPregnancyCognitive TherapyFentanylAcupuncture AnalgesiaAnesthesia, EpiduralCesarean SectionTreatment OutcomeMeperidineDementiaSufentanilRandomized Controlled Trials as TopicAnesthesia, ObstetricalDelivery, ObstetricLabor PresentationPatient Education as TopicExercise TherapyPhysical Therapy ModalitiesFatigueAntidepressive AgentsEvidence-Based MedicineInjections, SpinalLabor Stage, ThirdPractice Guidelines as TopicNerve BlockQuality of LifeNeoplasmsAmidesAnesthesia, SpinalHypertensionOxytocicsDouble-Blind MethodTramadolSeverity of Illness IndexExerciseAnalgesics, Non-NarcoticMyometriumUterine ContractionNaloxonePostoperative Nausea and VomitingRisk FactorsPain ThresholdInterpleural AnalgesiaApgar ScoreTerm BirthTocolytic AgentsCervical RipeningFetal MonitoringParityDrug ToleranceAmnionReceptors, Opioid, muLabor Stage, FirstParturitionAnesthesia, GeneralConscious SedationKetorolacLidocaineClonidinePregnancy OutcomeHydromorphoneProspective StudiesExtraembryonic MembranesAnesthesia, CaudalPregnancy, ProlongedChorioamnionitisAnesthesia and AnalgesiaKetamineNalbuphine
AnesthesiaEpiduralPharmacologicalChildbirthNeuraxialApproachesMaternalNulliparousSecond stage of laOnsetVaginal deliveryEfficacyProgressPatientTENSFetalWoman'sMethodsPlaceboCopeMothersSomaticDurationStage of laDeliveryIndicationsFetusWomenDoula presentMedicationsRelaxationClinicalReviewAffectReliefOptionsDealing with painWomanTime
Anesthesia9
  • The use of epidural analgesia for labor has grown significantly over the past decades in the United States, and most women now request anesthesia services for the management of pain during labor. (medscape.com)
  • This article contains descriptions of numerous anesthetic and analgesic techniques to assist the birthing process, including intravenous analgesia, peripheral nerve blocks, neuraxial anesthesia, and general anesthesia. (medscape.com)
  • Velvovski showed that obstetric psychoprophylaxis was a useful substitute for poorly administered labor anesthesia of the era. (medscape.com)
  • Many women desire pain management during labor and delivery, and there are many medical indications for analgesia and anesthesia during labor and delivery. (nih.gov)
  • Under appropriate physician supervision, labor and delivery nursing personnel who have been educated properly and have demonstrated current competence should be able to participate in the management of epidural infusions.The purpose of this document is to review medical options for analgesia during labor and anesthesia for surgical procedures that are common at the time of delivery. (nih.gov)
  • Urgency of anesthesia/analgesia will depend on the condition of the fetus (i.e., profound fetal heart rate deceleration requiring immediate delivery) and/or the cervical dilation of the mother (i.e., advanced labor). (renalandurologynews.com)
  • Epidural anesthesia consent form developed by Gerber Hospital that lists in detail expected results, technique, potential risks and other considerations for a woman deciding on pain management methods during labor. (birthtools.org)
  • 1 However, administration of neuraxial analgesia requires the continued presence of a trained anesthesia provider. (mhmedical.com)
  • Also provides Analgesia during labor, Sedation before surgery, Supplement to balanced anesthesia. (mhmedical.com)
Epidural9
  • Most women choose an epidural to manage the pain of their labor. (medlineplus.gov)
  • Labor sometimes is slightly longer if you receive an epidural. (medlineplus.gov)
  • Many times an epidural can allow labor that has stalled to progress. (medlineplus.gov)
  • This makes it similar to breathing exercises during labor cramps before epidural administration of anesthetics. (wikipedia.org)
  • A woman who requests epidural analgesia during labor should not be deprived of this service based on the status of her health insurance. (nih.gov)
  • A Meta-Analysis of Passive Descent Versus Immediate Pushing in Nulliparous Women With Epidural Analgesia in the Second Stage of Labor. (umich.edu)
  • Learn about the team approach to epidural education and informed consent resulted in high rate of nonpharmacologic management at Gerber Memorial Hospital. (birthtools.org)
  • Although no single analgesia technique is ideal for all parturients, neuraxial analgesia (epidural, spinal, or combined spinal-epidural) is arguably the analgesic technique closest to the ideal for most women. (mhmedical.com)
  • Le Ray C, Audibert F, Goffinet F, Fraser W. When to stop pushing: effects of duration of second-stage expulsion efforts on maternal and neonatal outcomes in nulliparous women with epidural analgesia. (ejgm.org)
Pharmacological5
  • Audioanalgesia (or audio-analgesia) is the relief of pain (analgesia) using white noise or music (that is, via audio equipment) without using pharmacological agents (that is, without analgesic drugs), usually during painful medical procedures such as dental treatments or some outpatient surgical procedures. (wikipedia.org)
  • Given the frequent adverse effects of pharmacological analgesia and the healthcare cost associated with their complications, there is an incentive to use non-pharmacologic pain relief methods for pregnant women [ 2 , 3 ]. (biomedcentral.com)
  • Transcutaneous electrical nerve stimulation (TENS) reduces pain and postpones the need for pharmacological analgesia during labour: a randomised trial. (evidencebasedbirth.com)
  • This study indicates that TENS can be used as a non-pharmacological therapy to reduce pain and shorten the active labor phase. (biomedcentral.com)
  • A national guide for normal delivery and the provision of pharmacological and non-pharmaceutical methods for reducing labor pain. (ejgm.org)
Childbirth9
  • One of the best ways to prepare is to take a childbirth class to learn what to expect in labor. (medlineplus.gov)
  • Childbirth preparation and nonpharmacologic analgesia. (medlineplus.gov)
  • Many women decide before going into labor to have natural childbirth. (medlineplus.gov)
  • The primary outcome measures are maternal pain intensity, satisfaction with pain relief, sense of control in labour, assisted delivery and satisfaction with childbirth experience. (biomedcentral.com)
  • Labor pain during childbirth can have devastating effects on the progress of labor, mother, and fetus. (biomedcentral.com)
  • Numerous factors may influence a woman's perception of pain in labor, making each experience unique-for example, previous pain experiences, culture, and care provided to mothers during childbirth [ 2 ]. (biomedcentral.com)
  • The aim of present study is to assess the effect of normal physiologic childbirth program in a mother-friendly hospital on duration of active phase and second stage of labor. (ejgm.org)
  • The intervention group of 77 women was offered the childbirth preparation classes during pregnancy and normal physiologic childbirth program during labor and the control group of 77 women received routine care. (ejgm.org)
  • Complete implementation of normal physiologic childbirth program can reduce the duration of labor. (ejgm.org)
Neuraxial6
  • Although the availability of different methods of labor analgesia will vary from hospital to hospital, the methods available within an institution should not be based on a patient's ability to pay.The American College of Obstetricians and Gynecologists believes that in order to allow the maximum number of patients to benefit from neuraxial analgesia, labor nurses should not be restricted from participating in the management of pain relief during labor. (nih.gov)
  • Advantages and disadvantages of neuraxial analgesia are listed in Table 6-1 . (mhmedical.com)
  • Neuraxial analgesia is the most effective form of pain relief in labor. (mhmedical.com)
  • Although neuraxial labor analgesia is effective and safe in the majority of young healthy women, some women experience complications. (mhmedical.com)
  • Dense neuraxial analgesia may adversely affect the mode of vaginal delivery. (mhmedical.com)
  • 2 , 3 Systemic opioids are the most common form of pharmacologic alternative to neuraxial labor analgesia, but analgesia is incomplete and maternal and fetal respiratory depression limit the dose. (mhmedical.com)
Approaches2
Maternal7
  • In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. (nih.gov)
  • Second-stage labor duration in nulliparous women: relationship to maternal and perinatal outcomes. (umich.edu)
  • This document provides a guideline for providers and nurses to assist women in active labor with ambulation and upright positioning, to promote spontaneous labor progress, shorten first stage of labor, enhance maternal comfort and coping, and reduce cesarean births. (birthtools.org)
  • The ideal labor analgesia should provide satisfactory maternal pain relief but not interfere with labor progression or outcome while minimizing adverse side effects to the mother and fetus. (mhmedical.com)
  • Alternate options for nonpharmacologic pain relief, particularly in early labor, include sterile water injections, water therapy, continuous labor support, touch and massage, and maternal movement and positioning. (mhmedical.com)
  • Labor pain relief using transcutaneous electrical nerve stimulation, maternal and fetal impacts: a randomized-controlled study. (evidencebasedbirth.com)
  • A prospective population-based study of maternal, fetal, and neonatal outcomes in the setting of prolonged labor, obstructed labor and failure to progress in low-and middle-income countries. (ejgm.org)
Nulliparous3
  • Neal JL, Lowe NK, Nacht AS, Koschoreck K, Anderson J. Pilot Study of Physiologic Partograph Use Among Low‐Risk, Nulliparous Women With Spontaneous Labor Onset. (umich.edu)
  • Participants are randomised based on parity (nulliparous and multiparous) and type of labour onset (spontaneous and induced). (biomedcentral.com)
  • The effect of transcutaneous electrical nerve stimulation on the severity of labor pain among nulliparous women: A clinical trial. (evidencebasedbirth.com)
Second stage of la1
  • The somatic pain that arises during the second stage of labor occurs in addition to the ongoing visceral pain of uterine contractions. (medscape.com)
Onset2
  • We are using stratified randomisation according to potential confounders of parity and type of labour onset to give four possible combinations. (biomedcentral.com)
  • The onset of analgesia with this setup is virtually immediate. (medscape.com)
Vaginal delivery3
  • The results of our study show that routine uterine massage after vaginal delivery shortens the third stage of labor and the placenta emerges in a significantly shorter time. (researchgate.net)
  • Objective The aim of this study was to investigate the effects of uterine massage performed before placental delivery on the third stage of labor and postpartum hemorrhage after vaginal delivery. (researchgate.net)
  • Eggebø T, Hassan W, Salvesen K, Lindtjørn E, Lees C. Sonographic prediction of vaginal delivery in prolonged labor: a two‐center study. (ejgm.org)
Efficacy2
  • JIN and colleagues, Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China studied the analgesia efficacy of drugs combined with acupuncture to treat pain for women in labour. (positivehealth.com)
  • Other double-blinded RCT's have already been published (JPSM 2008, Clin Pharm Ther 2000, J Pharmacol Exp Ther 2002, JAMA 2000) showing efficacy versus placebo without affecting analgesia from opioids. (pallimed.org)
Progress1
  • Downe S, Gyte G, Dahlen H, Singata M. Routine vaginal examinations for assessing progress of labour to im-prove outcomes for women and babies at term. (ejgm.org)
Patient3
  • When labor first begins, be patient and monitor your body. (medlineplus.gov)
  • Patient education, a supportive environment, and training with nonpharmacologic analgesic techniques all appear to positively affect labor pain, particularly during the latent (early first stage) phase. (medscape.com)
  • Help patient explore other nonpharmacologic methods to reduce chronic pain, such as relaxation techniques, exercise, counseling, and so forth. (mhmedical.com)
TENS13
  • Today's video is all about using TENS during labor . (evidencebasedbirth.com)
  • Transcutaneous electrical nerve stimulation (TENS) for pain management in labour. (evidencebasedbirth.com)
  • In today's video we're going to talk about using TENS, or transcutaneous electrical nerve stimulation, for pain management during labor. (evidencebasedbirth.com)
  • When you're using TENS during labor, you might feel a buzzing, tingling, or prickling sensation wherever the pads are placed. (evidencebasedbirth.com)
  • TENS during labor is most frequently applied to the lower back, on either side of the spine. (evidencebasedbirth.com)
  • TENS first started being used during labor in the 1970s, but it started to become more popular in the 1990s. (evidencebasedbirth.com)
  • For example, in a 2009 survey of most birthing units and hospitals in England, they found that all 139 of those maternity care units supported and encouraged the use of TENS during labor. (evidencebasedbirth.com)
  • However, only about one in five of the maternity care units had their own TENS units that women could borrow during labor. (evidencebasedbirth.com)
  • Research indicates, however, that high-frequency TENS analgesia is not reversed by naloxone, implicating a naloxone-resistant, dynorphin-binding receptor. (medscape.com)
  • The mechanism of the analgesia produced by TENS is explained by the gate-control theory proposed by Melzack and Wall in 1965. (medscape.com)
  • This study aimed to determine the effects of TENS therapy in the first stage of labor. (biomedcentral.com)
  • Women were assigned (1:1) to either the experimental group (received TENS therapy in the first stage of labor) or the control group (received routine obstetric care). (biomedcentral.com)
  • The primary outcome was labor pain intensity, assessed by visual analog scale (VAS) immediately after the randomization, at 30, 60, and 120 min after TENS therapy, and 2-24 h post-delivery. (biomedcentral.com)
Fetal1
  • Near the end of the first stage of labor, the fetal head begins to descend, causing perineal distention and activating somatic nociceptive pathways. (medscape.com)
Woman's1
  • A nursing tool to guide assessment and appropriate interventions related to the laboring woman's level of coping. (birthtools.org)
Methods5
  • Methods of induction of labour: A systematic review. (umich.edu)
  • Simkin PP, O'Hara M. Nonpharmacologic relief of pain during labor: Systematic reviews of five methods. (umich.edu)
  • Birth ball is one of the non-pharmacologic pain relief methods to help mothers cope with the labouring process. (biomedcentral.com)
  • In these situations there are methods available that have been found by many laboring mothers to assist in dealing with the pain of labor. (painfreebirthing.com)
  • In an effort to provide views based on good research we have summarized information on the following methods of nonpharmacologic pain relief. (painfreebirthing.com)
Placebo1
  • Use of an antispasmodic (rociverine) to shorten the length of labor: a randomized, placebo‐controlled trial. (ejgm.org)
Cope1
  • Most women do not know exactly how their labor will go, how they will cope with the pain, or what they will need until they are in labor. (medlineplus.gov)
Mothers1
  • Effect of transcutaneous electrical nerve stimulation on labour pain relief among primigravida and multigravida mothers. (evidencebasedbirth.com)
Somatic2
  • As labor progresses and the fetus descends in the birth canal, pain is also caused by vaginal and perineal distension transmitted via somatic afferent fibers traveling in the pudendal nerve to the S2 to S4 spinal cord segments. (mhmedical.com)
  • Labor pain has two elements: visceral and somatic. (biomedcentral.com)
Duration3
  • Epidurals can be repeated throughout the duration of labor. (medlineplus.gov)
  • Results: The included a total of 13 RCTs in this review, of eleven was high risk of bias and two were low, reported the effects of reflexology on low back and/or pelvic pain (LBPP), labor pain, duration of labor, anxiety, fatigue, sleep quality, constipation symptoms, and ankle and foot edema in pregnancy. (bvsalud.org)
  • An independent sample t-test compared the mean VAS scores and labor duration between groups. (biomedcentral.com)
Stage of la5
  • The first stage of labor includes the latent and active phases. (medscape.com)
  • Nonpharmacologic options such as massage, immersion in water during the first stage of labor, acupuncture, relaxation, and hypnotherapy are not covered in this document, although they may be useful as adjuncts or alternatives in many cases. (nih.gov)
  • Zhang J, Troendle J, Mikolajczyk R, Sundaram R, Beaver J, Fraser W. The Natural History of the Normal First Stage of Labor. (umich.edu)
  • Pain in the first stage of labor is caused primarily by cervical dilation transmitted via visceral afferent fibers to the T10 to L1 spinal cord segments. (mhmedical.com)
  • The third stage of labor was significantly shorter in group 1 (p = 0.012). (researchgate.net)
Delivery8
  • Be flexible when you are planning for your labor and delivery. (medlineplus.gov)
  • Talk to provider about the different types of pain relief for your labor and delivery. (medlineplus.gov)
  • It is good to know all of your options so you can make the best plan for your labor and delivery. (medlineplus.gov)
  • Because the risk of bleeding varies by subtype, accurate diagnosis of the disease is essential, and consultation with a hematologist, perinatologist, and anesthesiologist are essential to diagnosing the specific subtype and to recommending treatment for labor and delivery. (renalandurologynews.com)
  • Perioperative evaluation: Evaluation for VWD should consist of a hematology consult to properly diagnosis the specific subtype and recommend treatment for labor and delivery. (renalandurologynews.com)
  • Perioperative risk reduction strategies: The hematologist's recommendations regarding the use of DDAVP or specific blood products for labor and delivery should be available prior to delivery. (renalandurologynews.com)
  • Learn how Vanderbilt University Medical Center introduced nitrous oxide as a pain management method for labor and delivery. (birthtools.org)
  • No. 355-Physiologic Basis of Pain in Labour and Delivery: An Evidence-Based Approach to its Management. (evidencebasedbirth.com)
Indications1
  • Third-party payers that provide reimbursement for obstetric services should not deny reimbursement for labor analgesia because of an absence of "other medical indications. (nih.gov)
Fetus1
Women5
  • With systemic analgesics, some women have an easier labor and feel more relaxed. (medlineplus.gov)
  • Labor causes severe pain for many women. (nih.gov)
  • The High River Hospital Community Maternity Program added accupressure to their wide range of comfort/support skills in caring for women in active labor. (birthtools.org)
  • A randomised controlled trial (RCT) is conducted to evaluate the effectiveness, safety and harm of birth ball use by pregnant women in labour compared to treatment as usual group. (biomedcentral.com)
  • If the results are favourable, it will facilitate systematic implementation to promote birth ball use for women in labour. (biomedcentral.com)
Doula present2
  • Have a doula present to help you through the labor process. (medlineplus.gov)
  • Having a doula present during labor may also help greatly to tolerate natural child birth. (medlineplus.gov)
Medications2
  • The most recent review reports mixed results for effectiveness, making audioanalgesia a questionable pain management strategy for painful procedures: it might prove useful in distraction and sensory confusion, but it is inadequate analgesia unless combined with pain relief medications. (wikipedia.org)
  • An assessment tool to help the clinician review how a woman feels about the role and use of medications in her labor process. (birthtools.org)
Relaxation1
  • Model policy describing use of Hydrotherapy (water in a tub or shower) to promote relaxation and provide comfort for a laboring woman, developed by AWHONN. (birthtools.org)
Clinical1
Review1
Affect1
  • Ferguson S, Davis D, Browne J. Does antenatal education affect labour and birth? (ejgm.org)
Relief2
Options1
  • It is important to explore all options and be prepared before your labor begins. (medlineplus.gov)
Dealing with pain1
Woman1
  • The Coping With Labor Algorithm: An Alternate Pain Assessment Tool for the Laboring Woman. (umich.edu)
Time1
  • But, there is plenty you can do ahead of time to prepare for labor. (medlineplus.gov)