Nursing Management of Pain During Labor and Birth PDF

8/15/2024 Chapter 7 Nursing Management of Pain During Labor and Birth Niomi Quinteros, BNS, RN 1 Types of Prenatal Classes Childbirth Exercise Gestational Diabetes Mellitus Sibling...

8/15/2024 Chapter 7 Nursing Management of Pain During Labor and Birth Niomi Quinteros, BNS, RN 1 Types of Prenatal Classes Childbirth Exercise Gestational Diabetes Mellitus Sibling Grandparent Breastfeeding Infant Care Vaginal Birth After Cesarean (VBAC) 2 1  8/15/2024 Childbirth Pain Part of normal birth process Woman has several months to prepare for pain management Self-limiting and rapidly declines after birth May cause woman to feel vulnerable Motivates to assume different positions to assist fetus to descend 3 Sources of Pain During Labor Dilation and stretching of cervix Reduced uterine blood supply during contractions Pressure of fetus on pelvic structures Stretching of vagina and perineum 4 2  8/15/2024 During labor, stimulated by exercise, light massage, and touch. Box 7-1 5 Sources of Pain Maternal Cervical readiness Pelvis Labor intensity Fatigue Fetal Presentation & Position Interventions Psychosocial Factors 6 3  8/15/2024 Childbirth Preparation Methods Dick Read Method Fear-tension-pain Relaxation to interrupt cycle Bradley Method Husband coached birth Abdominal breathing and relaxation techniques Lamaze Method Bases of most CB classes in US Relaxation and breathing 7 Non-Pharmacologic Advantages No harm Do not slow labor Carry no risk for allergy No risk of adverse effects Limitations Prior rehearsal needed 8 4  8/15/2024 NON-PHARMACOLOGICAL TECHNIQUES breathing it on ula t i m s k in S 9 10 5  8/15/2024 Pharmacologic Pain Management Opioids Epidural Small doses Procedure Helps with coping not Limitations COMPLETE pain relief Avoided within 1 hr of birth Adverse effects Naloxone is narcotic Hypotension antagonist SAFETY!!! Reverses effects Check movement and Pain will return sensation before ambulation 11 Pharmacologic Local/Pudendal Block General Anesthesia Pain Emergency CS or Management Injected in the CS birth if epidural perineal area or or spinal block pudendal nerve doesn’t work Adverse Effects Adverse Effects Check allergies Aspiration Vaginal hematoma Abscess 12 6  8/15/2024 Nursing Care Plan – Woman Needing Pain Management During Labor Safety Alert p. 177 13 7