MODULE 7

Healthy Birthing

English

The Types of Pain Relief During Labour

THE TYPES OF PAIN RELIEF DURING LABOUR
Type Description
Analgesics (medication for pain relief)
  • Analgesics are given by injection in the hip muscle and are commonly used during labour. You generally feel the effect about 15 to 20 minutes following the injection.
  • Analgesics make you feel drowsy. They may make you feel nauseous or vomit.
  • Many women find this method very effective while others do not.
  • Analgesics can build up in your body and affect the baby's breathing after birth. For this reason, the amount of analgesics that can be given depends on the stage of labour and the condition of your baby.
Entonox or Nitronox
  • This is a combination of gas that is inhaled using a face mask during contractions.
  • This method is suggested for use during the transition stage (the end of the first stage) when the contractions are very strong. It is also used to help with pushing during the second stage.
  • The gas has a relaxing effect. It gives you a floating feeling and some dizziness, but it does not harm the baby. The effects go away as soon as you begin to breathe normal air.
Epidurals
  • Medication is injected into your lower back and takes away most of the feeling between your waist and the tips of your toes.
  • Epidurals allow you to stay awake during the delivery.
  • Only a specially trained doctor can give you an epidural. Because of this, epidurals are not available in all hospitals.
Transcutaneous Electrical Nerve (TENS)
  • The TENS is another method to relieve pain. A device which produces a light electrical current numbs the nerves so that you feel less pain. This method is safe for both the mother and the baby.
  • The TENS unit is connected to the skin by electrodes places on the abdomen or on the back.
  • In order to use this method during delivery a physiotherapist must show you how to use it beforehand. Talk to your doctor or physiotherapist if you would like more informations.

 

English

Fetal Monitoring

FETAL MONITORING
Technique Description
Fetoscope
  • A fetoscope looks like a stethoscope.
  • The nurse or doctor will use this to listen to your baby's heartbeat.
Doppler Ultrasound
  • This is a small hand-held ultrasound device.
  • When placed on the mother's abdomen, it permits the hearing of the baby's heartbeat that is checked depending on the staeg of labour.
Electronic fetal monitors

The baby's heartbeat and the contractions can be recorded using a device called the electronic monitor.

There are two kinds.

  • The external monitor is held in place with two belts fastened around the abdomen.
  • The internal monitor which is a small probe is inserted through the vagina and attached to the scalp or another part of your baby's body. It does not harm the baby.
English

d. Types of Massage

You never know what kind of massage is going to feel good. The best idea is to experiment and try out different kinds of massage. Then, when the time comes, you will have choices.

General information for the person giving the massage.

The following animations demonstrate the main massage techniques.

to see the effleurage (light massage) technique.

to see the counter pressure technique.

to see the stroking technique.

Read more

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