Learning about the potential complications of epidural reinforced my knowledge in being able to choose the right anaesthetic monitoring equipment. Knowing that Spinal and epidural anaesthesia can cause unpredictable and profound arterial hypotension necessitate the use of adequate monitoring like the; Pulse oximetry, ECG and Blood pressure cuff. This knowledge will help me to be able to select appropriate monitoring devices during epidural catheter insertion. Also it goes without saying that an epidural must be performed in a work area that is equipped for airway management and resuscitation.
Running head: Interventions throughout the stages of labor Interventions throughout the Stages of Labor Jackie Flooks Nursing 264 August 2, 2015 Introduction Providing Comfort Measures “A scientific definition of pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage” (Lowe, 2002). Labor pain, has many different variables, physical as well as its
Childbirth is a beautiful thing. After the hours of labor, there is nothing more special than having the newly mother able to hold her child the minute after it’s born. It makes the pain that you had just experienced go away because all that matters in the world is that newborn child in your arms. During labor, every woman has her own experience but one common experience is the pain. According to Kitzinger (1978) “Labor pain can have negative or positive meaning, depending on whether the child is wanted, the interaction of the laboring woman with those attending her, her sense of ease or dis-ease in the environment provided for birth, her relationship with the father of her child and her attitude to her body throughout the reproductive
Four years later, I got pregnant. I was nervous, scared and anxious. The doctor I saw said that I could have a VBAC(vaginal birth after c-section). I raided the library and read books on that subject. It was then I found out that the United States had the highest incidence of C-sections in the world. Research shows that epidurals increase the use of other interventions that themselves carry risks. These interventions include electronic fetal monitoring (which has shown to increase the likelihood of a cesarean without improving outcome), I. V oxytocin, and instrumental delivery. Epidurals also deprive women of a sense of mastery over labor. Goer, Henci. "Epidurals Myth Vs Reality." Childbirth Instructor Magazine Winter 1995: 17-22
Pain Management During Labor Childbirth can be described as one of the most rewarding and also painful experiences in a woman’s life. Most women choose some type of method to ease pain, however, there has been a lot of controversy over with pain management method is the most effective. According to the CDC (Center for Disease Control), In 2013, there were 3,932,181 births recorded in the United States, 32.7% of those births were surgical procedures. In 2012, 1.36% of recorded births occurred out-of-hospital, meaning these births took place mostly in homes or birthing centers. Without the option of medicine that a hospital provides, how were these women able to manage their pain during labor and delivery. There are many different methods for easing pain during childbirth, some methods involve the use of medicine and surgery, and others include natural techniques, such as hypnosis, Lamaze, and many others. It is a personal preference of the parents over which method is right for the needs of the mother and child. This can be an overwhelming decision for new parents to make because they have to take into consideration the safety of the mother and child, pain management for the mother and desire for medical involvement.
Arabs are rather private and prefer to not divulge personal information to strangers, especially when relating to family disease history. If patient does not open up right away, give them some more time, particularly personal and emotional details are being discussed. Because of strong affiliation with family, Arab Americans may
Assessment of Perineal Pain Adequate and effective management of perineal pain begins with a comprehensive assessment (Marcus et al, 2009; Breivikl et al, 2008; Dalton et al, 1999). However, Andrews et al, (2008) UK-based study concluded that there is no pain scale to date that has been developed to appropriately and accurately assess the perineal pain that women experience during the postnatal period. This begins to offer explanation as why up to 92% of new mothers endure perineal pain in the early postpartum period (Macarthur and Macarthur, 2004).To further support these findings Way (2012) discovered that women expect perineal pain following vaginal birth but under estimate the severity of the pain. Women will experience high levels of pain before requesting analgesia as they attempt to normalise the pain as a consequence of vaginal delivery (Swain and Dahlen, 2013). Macarthur and Macarthur (2004) conclude that the current management of perineal pain is inadequate as the use of analgesia is not standardised.
According to the authors (Tussey, et. Al., 2015) “Because limited research is available on the use of exercise or peanut balls with women with an epidural, the research question was generated from a growing trend in hospital labor and birth units to use such balls” (p. 22).
I picked this article because I am curious on what the side effects of an epidural are because of I’ve always known about the pros of Epidurals and how it is a successful pain reliever. An epidural makes the person so numb that it's hard to contract and push adequately
Natural birth is the best unharmful method. Natural childbirth is healthier for the mother and baby. Natural is shorter than the epidural. The epidural can slow your birth. Natural birth helps avoid unnecessary interventions. With an epidural, you can’t move around, and baby will need continuous monitoring. With natural birth the mother can move into positive positions such as squatting, leaning or sitting; Which can help the baby get into position more rapidly, making labor go faster. Also natural birth is the hardest
In our profession, we examine individuals and develop plans of care using treatment techniques that promote the ability to move, reduce pain, restore function, and prevent disabilities. This is however, tailor fitted to their diagnosis. With reference to your inquiry, the most commonly used IR in my facility is the epidural steroid injection.
Pregnancy and childbirth are a part of nature. Delivering a child can be a beautiful experience. However, delivery can also be very painful and can last for days.
Central Idea: Pain management is an important aspect of childbirth that women need to educate themselves on so they can make an informed decision when choosing which method they will use.
is to be done when the woman’s cervix is dilated between four and five centimeters (American Pregnancy Association 2015). There are two different types of epidurals. These are regular epidurals in which the narcotic and anesthesia is injected through the catheter periodically and there are CSE epidurals which stands for
Episiotomy and Perineal Tear During Delivery A first time pregnant woman in labor who has limited medical knowledge about episiotomy may become frighten when all of a sudden as she is actively pushing, the provider tells her stop because the passageway to let the baby out is narrow, therefore he/she is going to perform a procedure which involves an incision made to the vagina that will assist the birthing process, therefore allowing the baby to be delivered easily and preventing further complications. This might be really frightening to the patient due to her limited knowledge and prior misconceptions about the procedure.