Labor and childbirth is usually a painful experience and women vary in their response to it.
For a woman having her first
baby, the experience of labor (and her reaction to it) is unpredictable.
For this reason, it is a good
idea to be aware of the options for pain relief that are available and to know
something about the different methods. You may have a plan for how you hope to
manage your labor, but it is best to be prepared to be flexible.
Non-medical
pain relief options for childbirth
There are several non-drug pain relief
options:
· Being in good physical condition is important. Exercise gently and regularly throughout your pregnancy, avoid cigarettes and alcohol, and eat a healthy, balanced diet.
· Knowing what to expect during the various stages of labor can help reduce anxiety. Antenatal classes are strongly recommended.
· Breathing techniques may help you to ‘ride the waves’ of each contraction.
· Constant, close support from your partner (or a trusted friend or loved one) for the duration of labor can reduce anxiety.
· Using distractions like music can help to take your mind off the pain.
· Hot or cold packs, massage, a warm shower or immersion in a warm bath, and keeping active may all be helpful.
· Hypnosis, acupuncture and acupressure are areas in which there has been little research but these may be considered also.
Transcutaneous
electrical nerve stimulation (TENS)
TENS is a technique in which
nerves in the lower back are stimulated using a small hand-held device
controlled by the woman. It has no known side effects for mother or baby and
many women find it helpful either alone or in combination with other methods of
pain relief.
Medical pain relief options for
childbirth
The main medical
pain-relieving options for labor include:
· Pethidine
· Epidural anesthesia.
· Nitrous oxide
Know more about Epidural
anesthesia:
Epidural injections are the most
effective pain relief available. They are used for vaginal births and also for
cesarean sections, because they allow the mother to stay awake and alert
during the baby’s birth. Anesthetic is injected into the lining of the spinal
cord through the back, which makes the mother feel numb from the waist down.
Your baby’s heart rate will be monitored continuously.
Possible side effects and
complications of epidural anesthesia include:
·
The
anesthesia may not be complete and you may still experience some pain. This
may require the procedure to be repeated.
·
After
the epidural has been inserted, your blood pressure may drop, causing you to
feel faint and nauseated. This may also cause stress to your baby. This is
treated by giving intravenous fluid.
·
An
epidural often causes some muscle weakness in the legs, so women who have had
an epidural anesthetic may be confined to bed.
·
The
lack of sensation in the lower body means that you will not be able to tell
when you need to urinate. A urinary catheter will be inserted in most cases.
·
Epidurals
can lengthen the second stage of labor.
·
The
likelihood of having a normal vaginal delivery is reduced.
Childbirth is usually a painful
experience.
Particularly if you are having
your first baby, consider all options and be flexible.
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