Comfort During Labor and Delivery

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Comfort During Labor and Delivery

• Debbie Amason RN,BSN,MS

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Pain

• Neurologic Origin
• 1st stage
• 2nd stage
• Factors

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Non-pharmacologic methods

• Prepared childbirth
• Relaxation and breathing

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Non-pharmacologic strategies

• Cutaneous stimulation
• Counterpressure
• Effleurage
• Walking
• Rocking
• Positions change
• Heat/cold
• TENS
• Showers/bath

• Sensory stimulation
• Aromatherapy
• Breathing
• Music
• Imagery
• Focal points

• Cognitive stimulation
• Education
• hypnosis

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Pharmacologic methods

• Sedatives
• Analgesics and anesthesia
• Systemic
• Narcotics
• Mixed narcotic agonist-antagonist
• Narcotic antagonists

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Nerve Blocks

• Local
• Pudendal
• Spinal
• Epidural

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Assessment

• Joint effort
• Support
• Alternative methods
• Notify MD
• Protection