Obstetrics Book

Delivery

Natural Childbirth

http://www.fpnotebook.com/

Non-Pharmacologic Pain Control in Labor

Aka: Non-Pharmacologic Pain Control in Labor, Labor Alternatives to Analagesics
  1. Beneficial Measures
    1. Continuous Labor Support (Doula)
      1. Decreases obstetric interventions
    2. Warm water baths
      1. Mixed results on efficacy in studies
      2. Safe option for limited period (<1-2 hours)
      3. Wait until active labor (cervical dilation >5 cm)
      4. Keep water temperature less than body temperature
  2. Unclear efficacy (small or inconclusive studies)
    1. Intradermal sterile-water injections in sacral area
      1. Causes local burning (counterirritation)
    2. Position changes, massage or touch
  3. References
    1. Leeman (2003) Am Fam Physician 68(6):1109-12
    2. Simkin (2002) Am J Obstet Gynecol 186:S131-59

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