Labor Pain
Labor, Obstetric
Analgesia, Obstetrical
Obstetric Nursing
Analgesia, Epidural
Labor, Induced
Pain
Pain Measurement
Delivery, Obstetric
Pregnancy
Anesthesia, Obstetrical
Labor Onset
Analgesics, Opioid
Obstetric Labor, Premature
Pain Management
Chronic Pain
Obstetric Labor Complications
Trial of Labor
Back Pain
Low Back Pain
Neck Pain
Epidural administration of neostigmine and clonidine to induce labor analgesia: evaluation of efficacy and local anesthetic-sparing effect. (1/52)
BACKGROUND: Epidural clonidine produces analgesia without motor impairment, and is associated with a local anesthetic-sparing effect during labor. The authors have recently demonstrated that epidural neostigmine initiates selective labor analgesia devoid of adverse effects. Both drugs possess common analgesic mechanisms mediated through spinal acetylcholine release. This study evaluates their epidural combination in parturients. METHODS: At the beginning of labor, parturients were randomly allocated to one of five groups to receive one of the following after a test dose: 150 microg epidural clonidine, 750 microg neostigmine, or 75 microg clonidine combined with 250, 500, or 750 microg neostigmine. A pain score (visual analog scale, 0-100) was recorded before administration and at regular intervals until request for a supplemental injection. Subsequent analgesia was provided by continuous epidural infusion of ropivacaine. RESULTS: Parturients did not differ regarding demographic data and initial pain score. Clonidine 150 microg , neostigmine 750 microg , and 75 microg clonidine plus 250 microg neostigmine produced ineffective and short-lasting effects. Clonidine 75 microg plus 500 microg neostigmine and 75 microg clonidine plus 750 microg neostigmine presented comparable durations of 90 +/- 32 and 108 +/- 38 min (mean +/- SD), respectively, and final analgesic efficacies, with 72.2% and 84%, respectively, of the parturients reporting a visual analog scale score of less than 30 out of 100 after 30 min. Ropivacaine use was significantly reduced in all clonidine groups (average, 9.5 mg/h) in comparison with neostigmine alone (17 +/- 3 mg/h). No adverse effects were observed for 75 mug clonidine combined with any dose of neostigmine while maternal sedation (20%) and hypotension (33%) occurred with 150 microg clonidine alone. CONCLUSIONS: Epidural clonidine, 75 microg , with 750 microg neostigmine is an effective combination to initiate selective labor analgesia without adverse effects. Clonidine use further reduces local anesthetic consumption throughout the course of labor. (+info)Please understand when I cry out in pain: women's accounts of maternity services during labour and delivery in Ghana. (2/52)
BACKGROUND: This study was undertaken to investigate women's accounts of interactions with health care providers during labour and delivery and to assess the implications for acceptability and utilisation of maternity services in Ghana. METHODS: Twenty-one individual in-depth interviews and two focus group discussions were conducted with women of reproductive age who had delivered in the past five years in the Greater Accra Region. The study investigated women's perceptions and experiences of care in terms of factors that influenced place of delivery, satisfaction with services, expectations of care and whether they would recommend services. RESULTS: One component of care which appeared to be of great importance to women was staff attitudes. This factor had considerable influence on acceptability and utilisation of services. Otherwise, a successful labour outcome and non-medical factors such as cost, perceived quality of care and proximity of services were important. Our findings indicate that women expect humane, professional and courteous treatment from health professionals and a reasonable standard of physical environment. Women will consciously change their place of delivery and recommendations to others if they experience degrading and unacceptable behaviour. CONCLUSION: The findings suggest that inter-personal aspects of care are key to women's expectations, which in turn govern satisfaction. Service improvements which address this aspect of care are likely to have an impact on health seeking behaviour and utilisation. Our findings suggest that user-views are important and warrant further investigation. The views of providers should also be investigated to identify channels by which service improvements, taking into account women's views, could be operationalised. We also recommend that interventions to improve delivery care should not only be directed to the health professional, but also to general health system improvements. (+info)Quantile regression for longitudinal data using the asymmetric Laplace distribution. (3/52)
In longitudinal studies, measurements of the same individuals are taken repeatedly through time. Often, the primary goal is to characterize the change in response over time and the factors that influence change. Factors can affect not only the location but also more generally the shape of the distribution of the response over time. To make inference about the shape of a population distribution, the widely popular mixed-effects regression, for example, would be inadequate, if the distribution is not approximately Gaussian. We propose a novel linear model for quantile regression (QR) that includes random effects in order to account for the dependence between serial observations on the same subject. The notion of QR is synonymous with robust analysis of the conditional distribution of the response variable. We present a likelihood-based approach to the estimation of the regression quantiles that uses the asymmetric Laplace density. In a simulation study, the proposed method had an advantage in terms of mean squared error of the QR estimator, when compared with the approach that considers penalized fixed effects. Following our strategy, a nearly optimal degree of shrinkage of the individual effects is automatically selected by the data and their likelihood. Also, our model appears to be a robust alternative to the mean regression with random effects when the location parameter of the conditional distribution of the response is of interest. We apply our model to a real data set which consists of self-reported amount of labor pain measurements taken on women repeatedly over time, whose distribution is characterized by skewness, and the significance of the parameters is evaluated by the likelihood ratio statistic. (+info)Horner's syndrome and trigeminal nerve palsy following epidural analgesia for labor. (4/52)
Epidural analgesia is a widely used method of pain control in the labor and delivery setting but is not without risks. We present a case of Horner's syndrome and trigeminal nerve palsy as a rare complication of epidural analgesia in an obstetric patient. Although reported in few instances in the anesthesia literature, awareness among providers in obstetrics is critical because this could be the first sign of a high sympathetic blockade resulting in potential maternal-fetal morbidity. (+info)The postpartum visit--why wait 6 weeks? (5/52)
BACKGROUND: In many western countries, the traditional 6 week check is a routine medical review of a mother and her baby 6 weeks after the birth. In Australia, general practitioners perform the majority of postpartum assessments. OBJECTIVE: This article discusses some of the common issues that concern women following the birth of a baby, and the medical conditions GPs need to address in the postpartum period. DISCUSSION: The research literature does not support any benefit of a 6 week check. However, clinical evidence, our expertise as GPs, and our personal experiences, clearly indicate that the postpartum period is a time of tremendous change, increased health problems, and emotional upheaval for new parents. General practitioners are in an ideal position to assist families during this period and may consider a sooner rather than later, proactive rather than reactive, approach to postpartum care. (+info)Epidural analgesia in labor: Turkish obstetricians' attitudes and knowledge. (6/52)
Epidural analgesia is the most common preferred method of labor analgesia. The aim of this study is to evaluate the knowledge and attitudes of Turkish obstetricians and gynecologists concerning epidural analgesia and to reveal their doubts as well. A prospective survey amongst obstetricians and gynecologists in Turkey (n=152) was conducted to obtain information about obstetricians' education, knowledge and attitudes with respect to epidural analgesia during labor. The response rate to the survey was 94.7 %. Most respondents only received lectures about epidural analgesia after their specialty training. 35 % of respondents did not achieve an adequate knowledge score. Those with six to fifteen years experience achieved significantly better scores. A delay up to twenty minutes before epidural placement is acceptable to 84 % of respondents. In our opinion, the results of this survey indicate that education regarding epidural analgesia, both during and after obstetric speciality training, could be improved, and this education would best be provided by anesthetists in collaboration with obstetricians. It is hoped that closer collaboration between anesthetists and obstetricians during their respective training and in continuing medical education can be fostered. (+info)Intrathecal morphine reduces breakthrough pain during labour epidural analgesia. (7/52)
BACKGROUND: When using the combined spinal-epidural (CSE) technique for labour analgesia, parturients often experience breakthrough pain after the spinal medication has receded. We tested the hypothesis that a small dose of intrathecal morphine would reduce breakthrough pain. METHODS: This was a randomized, double-blind, placebo-controlled trial. Subjects were randomized to receive either 100 microg of morphine (MS) or placebo (PLCB) with the spinal injection of bupivacaine and fentanyl. Assessments included need for supplementation during labour analgesia, use of pain medications for 24 h after delivery, and side-effects. The primary end-point was the rate of breakthrough pain. RESULTS: Sixty subjects were enrolled, 55 subjects completed the trial. The MS group had a significantly lower rate of breakthrough pain than the PLCB group [0.6 (0.6) vs 1.1 (0.8) episodes per patient; P < 0.01], and longer time to first episode of breakthrough pain (300 vs 180 min; P = 0.03). The MS group used 75% less opioid medications during the subsequent 24 h, but had a 17% incidence of nausea. CONCLUSIONS: The addition of small dose of morphine to the spinal component of the CSE technique improved the effectiveness of epidural labour analgesia and reduced the need for pain medications over 24 h, but resulted in a small increase in nausea. (+info)A questionnaire survey on patients' attitudes towards epidural analgesia in labour. (8/52)
OBJECTIVES: To evaluate patient attitudes about epidural services in labour and correlate them with patient options and actual usage of epidural analgesia. DESIGN: Questionnaire survey. SETTING: Eight Hospital Authority obstetrics units. PARTICIPANTS: A cohort of new antenatal patients and a cohort of postnatal in-patients over 1 calendar month. MAIN OUTCOME MEASURES: Antenatal patient awareness of epidural services and attitudes towards epidural analgesia during labour; the actual usage of such analgesia and the reported experience of postnatal patients. RESULTS: A total of 2109 and 2851 patients completed the antenatal and postnatal survey, respectively. The former revealed that only 47% of patients had been exposed to the concept of epidural analgesia in labour, and only 13% opted for such analgesia. In the postnatal cohort, the overall epidural analgesia rate was 10%, although 19% had actually requested it. Patients who received epidural analgesia in labour were more likely to consider their experience as favourable (85%) compared to those who went through labour without such analgesia (26%) [P<0.001]. There was no significant improvement in knowledge about epidural analgesia among postnatal as compared to antenatal patients. The main reasons generally ascribed by patients for not being able to obtain an epidural service despite it being requested, were related to limited resources. CONCLUSION: The results showed poor general awareness of pregnant women about the proper role of epidural analgesia in labour, leading to a low patient demand for such services. Despite the low prevailing request rate for epidural analgesia in labour, there appears to be a lack of adequate resources to meet the demand. (+info)Labor pain is the physiological discomfort and pain experienced by women during childbirth, typically beginning in the lower back and radiating to the abdomen as contractions become more intense and frequent. It's primarily caused by the contraction of uterine muscles, pressure on the cervix, and stretching of the vaginal tissues during labor and delivery.
The pain can vary greatly among individuals, ranging from mild to severe, and it may be influenced by factors such as fear, anxiety, cultural expectations, and previous childbirth experiences. Various methods, including pharmacological interventions (such as epidural anesthesia), non-pharmacological techniques (such as breathing exercises, relaxation techniques, and water immersion), and alternative therapies (such as acupuncture and massage) can be used to manage labor pain.
'Labor, Obstetric' refers to the physiological process that occurs during childbirth, leading to the expulsion of the fetus from the uterus. It is divided into three stages:
1. The first stage begins with the onset of regular contractions and cervical dilation and effacement (thinning and shortening) until full dilation is reached (approximately 10 cm). This stage can last from hours to days, particularly in nulliparous women (those who have not given birth before).
2. The second stage starts with complete cervical dilation and ends with the delivery of the baby. During this stage, the mother experiences strong contractions that help push the fetus down the birth canal. This stage typically lasts from 20 minutes to two hours but can take longer in some cases.
3. The third stage involves the delivery of the placenta (afterbirth) and membranes, which usually occurs within 15-30 minutes after the baby's birth. However, it can sometimes take up to an hour for the placenta to be expelled completely.
Obstetric labor is a complex process that requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby.
Obstetrical analgesia refers to the use of medications or techniques to relieve pain during childbirth. The goal of obstetrical analgesia is to provide comfort and relaxation for the mother during labor and delivery while minimizing risks to both the mother and the baby. There are several methods of obstetrical analgesia, including:
1. Systemic opioids: These medications, such as morphine or fentanyl, can be given intravenously to help reduce the pain of contractions. However, they can cause side effects such as drowsiness, nausea, and respiratory depression in the mother and may also affect the baby's breathing and alertness at birth.
2. Regional anesthesia: This involves numbing a specific area of the body using local anesthetics. The two most common types of regional anesthesia used during childbirth are epidural and spinal anesthesia.
a. Epidural anesthesia: A catheter is inserted into the lower back, near the spinal cord, to deliver a continuous infusion of local anesthetic and sometimes opioids. This numbs the lower half of the body, reducing the pain of contractions and allowing for a more comfortable delivery. Epidural anesthesia can also be used for cesarean sections.
b. Spinal anesthesia: A single injection of local anesthetic is given into the spinal fluid, numbing the lower half of the body. This type of anesthesia is often used for cesarean sections and can also be used for vaginal deliveries in some cases.
3. Nitrous oxide: Also known as laughing gas, this colorless, odorless gas can be inhaled through a mask to help reduce anxiety and provide some pain relief during labor. It is not commonly used in the United States but is more popular in other countries.
When choosing an obstetrical analgesia method, it's essential to consider the potential benefits and risks for both the mother and the baby. Factors such as the mother's health, the progression of labor, and personal preferences should all be taken into account when making this decision. It is crucial to discuss these options with a healthcare provider to determine the most appropriate choice for each individual situation.
Obstetric nursing is a specialized field of nursing that focuses on the care of women during pregnancy, childbirth, and the postpartum period. This includes providing prenatal education and support, managing labor and delivery, assisting with newborn care immediately after birth, and supporting the physical and emotional needs of new mothers in the days and weeks following childbirth. Obstetric nurses may also provide care for women experiencing high-risk pregnancies or pregnancy-related complications. They work closely with obstetricians, midwives, and other healthcare professionals to ensure that women receive comprehensive and compassionate care throughout their pregnancy and childbirth journey.
Epidural analgesia is a type of regional anesthesia used to manage pain, most commonly during childbirth and after surgery. The term "epidural" refers to the location of the injection, which is in the epidural space of the spinal column.
In this procedure, a small amount of local anesthetic or narcotic medication is injected into the epidural space using a thin catheter. This medication blocks nerve impulses from the lower body, reducing or eliminating pain sensations without causing complete loss of feeling or muscle movement.
Epidural analgesia can be used for both short-term and long-term pain management. It is often preferred in situations where patients require prolonged pain relief, such as during labor and delivery or after major surgery. The medication can be administered continuously or intermittently, depending on the patient's needs and the type of procedure being performed.
While epidural analgesia is generally safe and effective, it can have side effects, including low blood pressure, headache, and difficulty urinating. In rare cases, it may also cause nerve damage or infection. Patients should discuss the risks and benefits of this procedure with their healthcare provider before deciding whether to undergo epidural analgesia.
Induced labor refers to the initiation of labor before it begins spontaneously, which is usually achieved through medical intervention. This process is initiated when there is a medically indicated reason to deliver the baby, such as maternal or fetal compromise, prolonged pregnancy, or reduced fetal movement. The most common methods used to induce labor include membrane stripping, prostaglandin administration, and oxytocin infusion. It's important to note that induced labor carries certain risks, including a higher chance of uterine hyperstimulation, infection, and the need for assisted vaginal delivery or cesarean section. Therefore, it should only be performed under the close supervision of a healthcare provider in a clinical setting.
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is a complex phenomenon that can result from various stimuli, such as thermal, mechanical, or chemical irritation, and it can be acute or chronic. The perception of pain involves the activation of specialized nerve cells called nociceptors, which transmit signals to the brain via the spinal cord. These signals are then processed in different regions of the brain, leading to the conscious experience of pain. It's important to note that pain is a highly individual and subjective experience, and its perception can vary widely among individuals.
Pain measurement, in a medical context, refers to the quantification or evaluation of the intensity and/or unpleasantness of a patient's subjective pain experience. This is typically accomplished through the use of standardized self-report measures such as numerical rating scales (NRS), visual analog scales (VAS), or categorical scales (mild, moderate, severe). In some cases, physiological measures like heart rate, blood pressure, and facial expressions may also be used to supplement self-reported pain ratings. The goal of pain measurement is to help healthcare providers better understand the nature and severity of a patient's pain in order to develop an effective treatment plan.
"Delivery, Obstetric" is a medical term that refers to the process of giving birth to a baby. It involves the passage of the fetus through the mother's vagina or via Caesarean section (C-section), which is a surgical procedure.
The obstetric delivery process typically includes three stages:
1. The first stage begins with the onset of labor and ends when the cervix is fully dilated.
2. The second stage starts with full dilation of the cervix and ends with the birth of the baby.
3. The third stage involves the delivery of the placenta, which is the organ that provides oxygen and nutrients to the developing fetus during pregnancy.
Obstetric delivery requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby. Various interventions and techniques may be used during the delivery process to facilitate a safe and successful outcome, including the use of medications, assisted delivery with forceps or vacuum extraction, and C-section.
Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.
Obstetrical anesthesia refers to the use of anesthetic techniques and medications during childbirth or obstetrical procedures. The goal is to provide pain relief and comfort to the birthing person while ensuring the safety of both the mother and the baby. There are different types of obstetrical anesthesia, including:
1. Local anesthesia: Injection of a local anesthetic agent to numb a specific area, such as the perineum (the area between the vagina and the anus) during childbirth.
2. Regional anesthesia: Numbing a larger region of the body using techniques like spinal or epidural anesthesia. These methods involve injecting local anesthetic agents near the spinal cord to block nerve impulses, providing pain relief in the lower half of the body.
3. General anesthesia: Using inhaled gases or intravenous medications to render the birthing person unconscious during cesarean sections (C-sections) or other surgical procedures related to childbirth.
The choice of anesthetic technique depends on various factors, including the type of delivery, the mother's medical history, and the preferences of both the mother and the healthcare team. Obstetrical anesthesia requires specialized training and expertise to ensure safe and effective pain management during labor and delivery.
Labor onset, also known as the start of labor, refers to the beginning of regular and coordinated uterine contractions that ultimately result in the delivery of a baby. This is usually marked by the presence of regular contractions that increase in intensity and frequency over time, along with cervical dilation and effacement (thinning and shortening of the cervix).
There are two types of labor onset: spontaneous and induced. Spontaneous labor onset occurs naturally, without any medical intervention, while induced labor onset is initiated by medical professionals using various methods such as medication or mechanical dilation of the cervix.
It's important to note that the onset of labor can be a challenging concept to define precisely, and different healthcare providers may use slightly different criteria to diagnose the start of labor.
Analgesics, opioid are a class of drugs used for the treatment of pain. They work by binding to specific receptors in the brain and spinal cord, blocking the transmission of pain signals to the brain. Opioids can be synthetic or natural, and include drugs such as morphine, codeine, oxycodone, hydrocodone, hydromorphone, fentanyl, and methadone. They are often used for moderate to severe pain, such as that resulting from injury, surgery, or chronic conditions like cancer. However, opioids can also produce euphoria, physical dependence, and addiction, so they are tightly regulated and carry a risk of misuse.
Premature obstetric labor, also known as preterm labor, is defined as regular contractions leading to cervical changes that begin before 37 weeks of gestation. This condition can result in premature birth and potentially complications for the newborn, depending on how early the delivery occurs. It's important to note that premature labor requires medical attention and intervention to try to stop or delay it, if possible, to allow for further fetal development.
Pain management is a branch of medicine that focuses on the diagnosis and treatment of pain and improvement in the quality of life of patients with chronic pain. The goal of pain management is to reduce pain levels, improve physical functioning, and help patients cope mentally and emotionally with their pain. This may involve the use of medications, interventional procedures, physical therapy, psychological therapy, or a combination of these approaches.
The definition of pain management can vary depending on the medical context, but it generally refers to a multidisciplinary approach that addresses the complex interactions between biological, psychological, and social factors that contribute to the experience of pain. Pain management specialists may include physicians, nurses, physical therapists, psychologists, and other healthcare professionals who work together to provide comprehensive care for patients with chronic pain.
Chronic pain is defined as pain that persists or recurs for a period of 3 months or longer, beyond the normal healing time for an injury or illness. It can be continuous or intermittent and range from mild to severe. Chronic pain can have various causes, such as nerve damage, musculoskeletal conditions, or chronic diseases like cancer. It can significantly impact a person's quality of life, causing limitations in mobility, sleep disturbances, mood changes, and decreased overall well-being. Effective management of chronic pain often involves a multidisciplinary approach, including medications, physical therapy, psychological interventions, and complementary therapies.
Obstetric labor complications refer to any physical or physiological difficulties that arise during the process of childbirth (labor) and can pose risks to the health of the mother, baby, or both. These complications may result from various factors such as pre-existing medical conditions, fetal distress, prolonged labor, abnormal positioning of the fetus, or issues related to the size or weight of the baby.
Some examples of obstetric labor complications include:
1. Fetal distress: This occurs when the fetus is not receiving adequate oxygen supply or is in danger during labor. It can be caused by various factors such as umbilical cord compression, placental abruption, or maternal anemia.
2. Prolonged labor: When labor lasts for more than 20 hours in first-time mothers or more than 14 hours in subsequent pregnancies, it is considered prolonged labor. This can lead to fatigue, infection, and other complications for both the mother and baby.
3. Abnormal positioning of the fetus: Normally, the fetus should be positioned head-down (vertex) before delivery. However, if the fetus is in a breech or transverse position, it can lead to difficult labor and increased risk of complications during delivery.
4. Shoulder dystocia: This occurs when the baby's shoulders get stuck behind the mother's pubic bone during delivery, making it challenging to deliver the baby. It can cause injuries to both the mother and the baby.
5. Placental abruption: This is a serious complication where the placenta separates from the uterus before delivery, leading to bleeding and potential oxygen deprivation for the fetus.
6. Uterine rupture: A rare but life-threatening complication where the uterus tears during labor, causing severe bleeding and potentially endangering both the mother and baby's lives.
7. Preeclampsia/eclampsia: This is a pregnancy-related hypertensive disorder that can lead to complications such as seizures, organ failure, or even maternal death if left untreated.
8. Postpartum hemorrhage: Excessive bleeding after delivery can be life-threatening and requires immediate medical attention.
9. Infections: Maternal infections during pregnancy or childbirth can lead to complications for both the mother and baby, including preterm labor, low birth weight, and even fetal death.
10. Anesthesia complications: Adverse reactions to anesthesia during delivery can cause respiratory depression, allergic reactions, or other complications that may endanger the mother's life.
A "trial of labor" (ToL) is a medical term used to describe the attempt to deliver a baby vaginally, without the use of a cesarean section (C-section), after a previous C-section delivery. It's also sometimes referred to as "VBAC" (vaginal birth after cesarean). The decision to undergo a trial of labor is made after considering several factors, including the reason for the prior C-section, the woman's overall health and pregnancy complications, if any.
During a trial of labor, the healthcare provider will monitor both the mother and the baby closely for signs of distress or other complications that might require an emergency C-section. The success rate of a trial of labor varies depending on several factors, including the number of previous C-sections, the reason for those C-sections, and whether there are any additional risk factors present in the current pregnancy.
It's important to note that while a trial of labor can be successful and result in a vaginal delivery, it also carries some risks, such as the possibility of uterine rupture, which is a serious complication that requires immediate medical attention. Therefore, the decision to undergo a trial of labor should be made carefully and discussed thoroughly with a healthcare provider.
Pain threshold is a term used in medicine and research to describe the point at which a stimulus begins to be perceived as painful. It is an individual's subjective response and can vary from person to person based on factors such as their pain tolerance, mood, expectations, and cultural background.
The pain threshold is typically determined through a series of tests where gradually increasing levels of stimuli are applied until the individual reports feeling pain. This is often used in research settings to study pain perception and analgesic efficacy. However, it's important to note that the pain threshold should not be confused with pain tolerance, which refers to the maximum level of pain a person can endure.
Postoperative pain is defined as the pain or discomfort experienced by patients following a surgical procedure. It can vary in intensity and duration depending on the type of surgery performed, individual pain tolerance, and other factors. The pain may be caused by tissue trauma, inflammation, or nerve damage resulting from the surgical intervention. Proper assessment and management of postoperative pain is essential to promote recovery, prevent complications, and improve patient satisfaction.
Back pain is a common symptom characterized by discomfort or soreness in the back, often occurring in the lower region of the back (lumbago). It can range from a mild ache to a sharp stabbing or shooting pain, and it may be accompanied by stiffness, restricted mobility, and difficulty performing daily activities. Back pain is typically caused by strain or sprain to the muscles, ligaments, or spinal joints, but it can also result from degenerative conditions, disc herniation, spinal stenosis, osteoarthritis, or other medical issues affecting the spine. The severity and duration of back pain can vary widely, with some cases resolving on their own within a few days or weeks, while others may require medical treatment and rehabilitation.
Low back pain is a common musculoskeletal disorder characterized by discomfort or pain in the lower part of the back, typically between the costal margin (bottom of the ribcage) and the gluteal folds (buttocks). It can be caused by several factors including strain or sprain of the muscles or ligaments, disc herniation, spinal stenosis, osteoarthritis, or other degenerative conditions affecting the spine. The pain can range from a dull ache to a sharp stabbing sensation and may be accompanied by stiffness, limited mobility, and radiating pain down the legs in some cases. Low back pain is often described as acute (lasting less than 6 weeks), subacute (lasting between 6-12 weeks), or chronic (lasting more than 12 weeks).
Abdominal pain is defined as discomfort or painful sensation in the abdomen. The abdomen is the region of the body between the chest and the pelvis, and contains many important organs such as the stomach, small intestine, large intestine, liver, gallbladder, pancreas, and spleen. Abdominal pain can vary in intensity from mild to severe, and can be acute or chronic depending on the underlying cause.
Abdominal pain can have many different causes, ranging from benign conditions such as gastritis, indigestion, or constipation, to more serious conditions such as appendicitis, inflammatory bowel disease, or abdominal aortic aneurysm. The location, quality, and duration of the pain can provide important clues about its cause. For example, sharp, localized pain in the lower right quadrant of the abdomen may indicate appendicitis, while crampy, diffuse pain in the lower abdomen may suggest irritable bowel syndrome.
It is important to seek medical attention if you experience severe or persistent abdominal pain, especially if it is accompanied by other symptoms such as fever, vomiting, or bloody stools. A thorough physical examination, including a careful history and a focused abdominal exam, can help diagnose the underlying cause of the pain and guide appropriate treatment.
Neck pain is discomfort or soreness in the neck region, which can extend from the base of the skull to the upper part of the shoulder blades, caused by injury, irritation, or inflammation of the muscles, ligaments, or nerves in the cervical spine. The pain may worsen with movement and can be accompanied by stiffness, numbness, tingling, or weakness in the neck, arms, or hands. In some cases, headaches can also occur as a result of neck pain.
In medicine, "intractable pain" is a term used to describe pain that is difficult to manage, control or relieve with standard treatments. It's a type of chronic pain that continues for an extended period, often months or even years, and does not respond to conventional therapies such as medications, physical therapy, or surgery. Intractable pain can significantly affect a person's quality of life, causing emotional distress, sleep disturbances, and reduced mobility. It is essential to distinguish intractable pain from acute pain, which is typically sharp and short-lived, resulting from tissue damage or inflammation.
Intractable pain may be classified as:
1. Refractory pain: Pain that persists despite optimal treatment with various modalities, including medications, interventions, and multidisciplinary care.
2. Incurable pain: Pain caused by a progressive or incurable disease, such as cancer, for which no curative treatment is available.
3. Functional pain: Pain without an identifiable organic cause that does not respond to standard treatments.
Managing intractable pain often requires a multidisciplinary approach involving healthcare professionals from various fields, including pain specialists, neurologists, psychiatrists, psychologists, and physical therapists. Treatment options may include:
1. Adjuvant medications: Medications that are not primarily analgesics but have been found to help with pain relief, such as antidepressants, anticonvulsants, and muscle relaxants.
2. Interventional procedures: Minimally invasive techniques like nerve blocks, spinal cord stimulation, or intrathecal drug delivery systems that target specific nerves or areas of the body to reduce pain signals.
3. Psychological interventions: Techniques such as cognitive-behavioral therapy (CBT), mindfulness meditation, and relaxation training can help patients cope with chronic pain and improve their overall well-being.
4. Physical therapy and rehabilitation: Exercise programs, massage, acupuncture, and other physical therapies may provide relief for some types of intractable pain.
5. Complementary and alternative medicine (CAM): Techniques like yoga, tai chi, hypnosis, or biofeedback can be helpful in managing chronic pain.
6. Lifestyle modifications: Dietary changes, stress management, and quitting smoking may also contribute to improved pain management.
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Letters | Climate change, Inclusive language, Labour pains, Jewish custom | Commonweal Magazine
Letters | Climate change, Inclusive language, Labour pains, Jewish custom | Commonweal Magazine
Inside Medicine 7/11/20 - Dave Seitman M.D. Pain Management in Labor and Delivery
Contractions25
- This lessens the pain of contractions and makes it easier to deliver your baby through your vagina. (medlineplus.gov)
- But the pain is worse with my contractions! (emofree.com)
- Even though I have this pain with my contractions. (emofree.com)
- Between her contractions, which began to get a little more regular, now about 2 = minutes apart, I would talk to Cherie and try to get a different description about her pains, and we would tap on that. (emofree.com)
- First labor the worst contractions were at least a 10, like the contractions became unbearable halfway to their peak and then kept tightening. (babycenter.com)
- Next labor, the contractions got to about a 9, and that was at the very peak of the contraction, so only several seconds at a time. (babycenter.com)
- If you count the 'start' of labor being when my contractions became timeable and consistent, I was in labor for about 14-15 hours, but only the last hour was at a 10 on the pain scale. (babycenter.com)
- Contractions through the night were probably a 3 or 4 on the pain scale. (babycenter.com)
- The study found differences in the receptor that controls uterine muscle contractions, the beta-2-adrenergic receptor (B2AR genotype C at the 27 position), which predicted later transition to active labor. (health.am)
- First-stage pain, therefore, relates to these regular uterine contractions and the subsequent stretching and dilation of the cervix. (medscape.com)
- The somatic pain that arises during the second stage of labor occurs in addition to the ongoing visceral pain of uterine contractions. (medscape.com)
- Additionally, it allows you to be aware of your labor contractions, yet still be able to move. (allinahealth.org)
- TensCare Maternity TENS are used in many UK hospitals and have won multiple awards for their ease of use and unique features, such as a contraction timer to effectively measure your labour progress, a labour log to track your total time in labour and a boost button for additional pain relief during contractions. (tenscare.co.uk)
- I called the labor and delivery line at my hospital but my contractions were not close enough together for me to come and the nurse did mention that, "some women just do not tolerate pain very well. (thismomsays.com)
- But at around 2:30am, he fibbed and told the labor and delivery advice nurse that my contractions were 5-7 minutes apart so that we could come in. (thismomsays.com)
- Early Braxton Hicks contractions or muscle spasms, if experienced, may come and go in the uterus as labor progresses. (rolstoelco.com)
- However, if the injury is below T12, the labor contractions will be normal , just like in other women. (rolstoelco.com)
- Are Contractions Causing Upper Back Pain? (gramercypaincenter.com)
- Contractions don't directly cause upper back labor pain. (gramercypaincenter.com)
- Meanwhile, real contractions during labor feel different than regular contractions. (gramercypaincenter.com)
- True labor contractions occur at regular intervals, become more painful and more frequent, and persist even after physical activity, unlike Braxton Hicks contractions. (gramercypaincenter.com)
- Uterine contractions can also be an indicator that you are in early pregnancy labor if they happen every about 10 minutes before your 37th week of pregnancy. (gramercypaincenter.com)
- Uterine contractions and cervical dilatation result in visceral pain. (medscape.com)
- It also helps control blood pressure in women with preeclampsia by alleviating labor pain, and it blunts the hemodynamic effects of uterine contractions and the associated pain response in patients with other medical complications. (medscape.com)
- Labor is a series of rhythmic, progressive contractions of the uterus that gradually move the fetus through the lower part of the uterus (cervix) and birth canal (vagina) to the outside world. (msdmanuals.com)
Childbirth17
- Whether you choose to use pain relief or not, it is good to prepare yourself for natural childbirth. (medlineplus.gov)
- The pain felt during childbirth is different for every woman. (medlineplus.gov)
- Some women choose natural childbirth, or giving birth without medicine for pain. (medlineplus.gov)
- For some women, the techniques learned in childbirth classes are enough to relieve their pain. (medlineplus.gov)
- Other women may choose to use pain medicine during childbirth. (medlineplus.gov)
- Many women decide before going into labor to have natural childbirth. (medlineplus.gov)
- It is a good idea to go to childbirth classes and learn about breathing and relaxation techniques, even if you plan to get pain medicine. (medlineplus.gov)
- Labor (or labour) pains may refer to: Pain experienced during the process of childbirth Labor Pains (film), a 2009 American romantic comedy film "Labor Pains" (The Simpsons), an episode of the American animated television series The Simpsons "Labor Pains" (Medium), an episode of the American television series Medium This disambiguation page lists articles associated with the title Labor Pains. (wikipedia.org)
- In her thesis, obstetrician Berith Karlsson Tingåker has examined the source of pain during childbirth and how uterine sensitivity to pain changes during pregnancy. (expertsvar.se)
- And as with childbirth, I will look back upon the labor, from the safety and calm of late fall, perhaps, with a rosy, distorted memory of the real effort involved. (nwedible.com)
- As most pregnant women are aware, pain relief during childbirth can be achieved in a number of ways. (typepad.com)
- Here's the rundown of using laughing gas during labor and childbirth. (allinahealth.org)
- An epidural is commonly used to give pain relief during childbirth. (hcahealthcare.co.uk)
- Recommended by the NHS and midwives around the world, TENS pain relief is a safe and drug free alternative or addition to traditional childbirth pain relief. (tenscare.co.uk)
- Learn about comfort techniques and coping skills for all the stages and phases of labor, as well as pain medication options available to assist you during childbirth. (emmawell.com)
- One of the best ways to prepare is to take a childbirth class to learn what to expect in labor. (medlineplus.gov)
- Natural childbirth offers benefits even though itis the most painful route, so the use of methods that humanize childbirth decreases pain, tension, assists in relaxation, accelerates the latent and active phases, also favoring a positive birth experience. (bvsalud.org)
Pregnancy26
- So often in my practice I find that women who are having problems in pregnancy and/or labor have been victims of sexual abuse. (emofree.com)
- You can learn and practice coping strategies during pregnancy to help you prepare mentally, emotionally and physically for your labour. (healthunit.com)
- Her results show that labour pains mainly derive from the cervix, where the number of pain-related nerve fibres and receptors is much greater than in the uterus at full-term pregnancy. (expertsvar.se)
- Thesis: Changes in human uterine innervation in term pregnancy and labor. (expertsvar.se)
- Researchers in Taiwan studied the effects of music on women in labor during of their first pregnancy. (thecamreport.com)
- This entry was posted on Friday, November 5th, 2010 at 3:26 PM and is filed under Anxiety (Panic)/Depression , Pain , Pregnancy . (thecamreport.com)
- With 3 programmes designed for each stage of labour and even a setting to encourage milk flow, these little devices will soon become your trusty sidekick from late pregnancy through to motherhood. (tenscare.co.uk)
- A procedure used to stimulate uterine contraction during pregnancy before the labor process beings on its own. (thepainlesspush.com)
- The process of acupuncture to induce labor pain typically begins with the acupuncturist assessing the expectant mother's overall health and progress of the pregnancy. (studioacupuncture.com)
- Paralyzed pregnant women face additional challenges in pregnancy, one of which is that they might not recognize the signs of labor, particularly in women with T10 or higher injuries. (rolstoelco.com)
- An estimate of 50% to 80% of expecting parents experience back pain during labor and pregnancy, most of which is lower back pain. (gramercypaincenter.com)
- Lower back pain is the most common symptom of pregnancy-related back pain and back labor. (gramercypaincenter.com)
- Upper back pain still happens at any point in pregnancy due to many factors such as baby growth, weight gain, and hormonal changes. (gramercypaincenter.com)
- Lower back pain is a far more common occurrence than upper back pain during pregnancy. (gramercypaincenter.com)
- Despite being a less common occurrence, upper back pain can happen during pregnancy. (gramercypaincenter.com)
- Pregnancy is usually associated with lower back pain or pain in the lumbar spine. (gramercypaincenter.com)
- Lower back pain is also one of the most common indications of labor in pregnancy. (gramercypaincenter.com)
- This means that upper back pain can at times be experienced alongside pregnancy and even labor. (gramercypaincenter.com)
- Upper back pain can happen at any point in pregnancy, but it is most commonly noticed during the third trimester. (gramercypaincenter.com)
- In some cases, in which it's experienced before the 37th week of pregnancy, upper back pain can be indicative of preterm labor which can lead to premature birth. (gramercypaincenter.com)
- The non-labor contraction known as Braxton Hicks contraction is generally painless and normally occurs after approximately 30 weeks of pregnancy. (gramercypaincenter.com)
- If you're experiencing predictable belly cramps without diarrhea before your 37th week of pregnancy, this can be a sign of early labor. (gramercypaincenter.com)
- Okay, I discovered tonight that labor pains are probably not the worst part of pregnancy. (brownfamile.com)
- Most women have bours, need fewer analgesics and have positive attitudes about pregnancy, espe- more successful labours with more posi- cially if it is planned with a partner's agree- tive reactions to their neonates [ 2 ]. (who.int)
- Toward the end of pregnancy (after 36 weeks), a doctor examines the cervix to try to predict when labor will start. (msdmanuals.com)
- On average, labor lasts 12 to 18 hours in a woman's first pregnancy and tends to be shorter, averaging 6 to 8 hours, in subsequent pregnancies. (msdmanuals.com)
Epidurals9
- Epidurals can be repeated throughout the duration of labor. (medlineplus.gov)
- Epidurals are widely used for pain relief in labour and involve an injection of a local anaesthetic into the lower region of the back close to the nerves that transmit pain. (cochrane.org)
- Epidurals may relieve labour pain more effectively than opioids, and more women may be more satisfied with epidural as pain relief. (cochrane.org)
- Women with epidurals reported less pain compared to women with placebo or no treatment, or acu-stimulation. (cochrane.org)
- Epidurals may reduce pain during labour more effectively than any other form of pain relief, and may increase maternal satisfaction with pain relief. (cochrane.org)
- Epidurals were generally associated with a 30 percent longer labor time. (health.am)
- Epidurals and IV pain medications are still an option even after trying nitrous oxide. (allinahealth.org)
- During your labor and birth experience you can use nitrous, labor epidurals or IV pain medication for pain relief. (allinahealth.org)
- We also offer 'mobile epidurals' which provide pain relief but you can still walk around and move. (hcahealthcare.co.uk)
Move around during2
- Lower concentrations of local anaesthetic when given together with an opiate allow women to maintain the ability to move around during labour and to actively participate in the birth. (cochrane.org)
- You are not able to change your position or move around during labour. (healthunit.com)
Epidural Injection1
- It may last another hour or more if the woman has been given an epidural injection or a drug to relieve pain. (msdmanuals.com)
Relieve pain4
- These techniques can help you relieve pain naturally during birth. (medlineplus.gov)
- Get ready with these eight helpful positions that can make your labor go faster and relieve pain during each stage of labor . (babycenter.com)
- Opioid drugs mimic that of these natural molecules to help relieve pain. (thepainlesspush.com)
- Pushing the heel of the hand or the fist against the maternal sacrum can help to relieve pain in the lower back. (leveluprn.com)
Pharmacological6
- Pharmacological methods of pain relief include breathing in of nitrous oxide, injection of opioids and local analgesia with an epidural for a central nerve block. (cochrane.org)
- Here are some non-pharmacological ways to help patients manage labor pain. (leveluprn.com)
- Knowing the options for pharmacological measures - and understanding what they are and how to use them - is very important when working with a patient in labor. (leveluprn.com)
- Many pharmacological and nonpharmacological methods of labor analgesia have been adopted over the years. (medscape.com)
- Obstetric nurses' perspective: use of non-pharmacological methods for the relief of labor pain. (bvsalud.org)
- To understand the perspective of obstetric nurses on the use of non- pharmacological methods for the relief of labor pain. (bvsalud.org)
Maternal3
- Low-quality evidence shows that epidural analgesia may be more effective in reducing pain during labour and increasing maternal satisfaction with pain relief than non-epidural methods. (cochrane.org)
- The significances of covariates such as genetic background, maternal weight, and ethnicity were tested with software that allows researchers to identify the effects of maternal characteristics that influence the time course of labor and degree of labor pain with high degrees of statistical significance. (health.am)
- Maternal request is a sufficient medical indication for pain relief during labor. (medscape.com)
Baby's1
- The study's model predicted that women who require instrumental (such as forceps) vaginal delivery start off with more pain possibly because the baby's head is not in the most common presentation which is head-down, facing the mother's back, with its chin tucked to its chest and the back of the head ready to enter the pelvis. (health.am)
Opioids3
- Systemic pain management (medicines) for relieving pain during labor include opioids , antiemetics , and benzodiazepines . (leveluprn.com)
- Opioids (e.g., meperidine) are strong and effective pain medicines because opioids target the pain itself. (leveluprn.com)
- Only opioids could be used for labor analgesia in these situations, as they do not decrease systemic vascular resistance. (medscape.com)
Injection1
- Combined-spinal-epidural involves a single injection of local anaesthetic or opiate into the cerebral spinal fluid for fast onset of pain relief, as well as insertion of the epidural catheter for continuing pain relief. (cochrane.org)
Hypnosis3
- Hypnosis for pain relief depends on the power of suggestion and has achieved periodic spurts of popularity since the early 1800s but has never gained wide appeal. (medscape.com)
- The following story illustrates how hypnosis can be a very effective and drug-free way to help a labouring mother. (typepad.com)
- A first-time mother claims to have experienced a pain-free labour after undergoing hypnosis. (typepad.com)
Obstetric3
- Velvovski showed that obstetric psychoprophylaxis was a useful substitute for poorly administered labor anesthesia of the era. (medscape.com)
- At The Portland Hospital, we have 24-hour cover provided by a resident consultant obstetric anaesthetist should you need epidural pain relief during labour. (hcahealthcare.co.uk)
- In obstetric patients, regional analgesia refers to partial or complete loss of pain sensation below the T8 to T10 spinal level. (medscape.com)
Analgesia15
- We set out to assess the effectiveness of all kinds of epidural analgesia (including combined-spinal-epidural) on the mother and the baby, when compared with non-epidural or no pain relief during labour. (cochrane.org)
- Pain was not reported in the trials that compared epidural with inhaled analgesia, or continuous support. (cochrane.org)
- Although overall there appears to be an increase in assisted vaginal birth when women have epidural analgesia, a post hoc subgroup analysis showed this effect is not seen in recent studies (after 2005), suggesting that modern approaches to epidural analgesia in labour do not affect this outcome. (cochrane.org)
- The use of epidural analgesia for labor has grown significantly over the past decades in the United States, and most women now request anesthesia services for the management of pain during labor. (medscape.com)
- Nitrous Oxide Use During Labor: Satisfaction, Adverse Effects, and Predictors of Conversion to Neuraxial Analgesia. (ucdenver.edu)
- Toledo P, Eosakul ST, Grobman WA, Feinglass J, Hasnain-Wynia R. Primary Spoken Language and Neuraxial Labor Analgesia Use Among Hispanic Medicaid Recipients. (ucdenver.edu)
- Toledo P, Sun J, Peralta F, Grobman WA, Wong CA, Hasnain-Wynia R. A qualitative analysis of parturients' perspectives on neuraxial labor analgesia. (ucdenver.edu)
- Epidural analgesia for labor and delivery. (ucdenver.edu)
- Association between breakthrough labor pain, patient-controlled epidural analgesia use, and numeracy: A pilot observational study. (bvsalud.org)
- Labor analgesia can be maintained with a continuous epidural infusion, supplemented by patient -controlled epidural boluses. (bvsalud.org)
- Nulliparous, English-speaking patients with singleton, vertex pregnancies admitted for postdates ( gestational age ≥ 41 weeks) induction of labor requesting neuraxial labor analgesia . (bvsalud.org)
- Combined spinal-epidural labor analgesia was initiated with intrathecal fentanyl and epidural analgesia was maintained using continuous epidural infusion with patient -controlled epidural boluses. (bvsalud.org)
- Laboring patients must be educated about the different available methods of labor analgesia. (medscape.com)
- Approximately 60% of laboring women (2.4 million each year) choose regional analgesia for pain relief during labor. (medscape.com)
- Besides providing analgesia in labor, regional analgesia may facilitate atraumatic vaginal delivery of twins, preterm neonates, and neonates with breech presentation. (medscape.com)
Analgesic5
- A systemic analgesic is a pain medicine that is injected into your vein or muscle. (medlineplus.gov)
- Patient education, a supportive environment, and training with nonpharmacologic analgesic techniques all appear to positively affect labor pain, particularly during the latent (early first stage) phase. (medscape.com)
- Toledo P, Pumarino J, Grobman WA, Wong CA, Holl JL, Hasnain-Wynia R. Patients' preferences for labor analgesic counseling: A qualitative analysis. (ucdenver.edu)
- Acupuncture for labor pain works as a natural analgesic, encouraging the release of endorphins, the body's natural painkillers. (studioacupuncture.com)
- What Vendal regard is and what it is used for Vendal retard is a very strong and efficient analgesic (painkil er), and it is used for the prolonged relief of strong and very strong persistent pain when other analgesics are not sufficient. (who.int)
Occurs1
- if stomach pain occurs suddenly or if you suffer from indigestion (delayed gastric emptying). (who.int)
Birth15
- Having a doula present during labor may also help greatly to tolerate natural child birth. (medlineplus.gov)
- Dr. Brad Miller, DC skillfully helped his patient, Cherie, come through severe emotional issues and unusual labor pains while giving birth at home. (emofree.com)
- There are highly variable findings such as a longer labour, experiencing very low blood pressure, and being unable to move for a period of time after the birth (motor blockade), probably due to higher concentrations of local anaesthetic being used in the epidural or the use of epidural infusions rather than epidural doses of pain relief administered at intervals. (cochrane.org)
- One of the biggest fears people have around birth is the fear of labour pain. (healthunit.com)
- Tells you how to move and what positions to be in to help promote good labour progress by changing the shape of your pelvis and shifting the baby into the best position for birth. (healthunit.com)
- You lack confidence and are not prepared for labour and birth. (healthunit.com)
- You feel overly fearful or anxious about the process of labour and birth. (healthunit.com)
- You do not have a support person to be with you during labour and birth (personal &/or professional). (healthunit.com)
- It's important to understand the difference between feeling pain and suffering in labour and birth. (healthunit.com)
- Meanwhile, in terms of mental pain, look at how Jon Cousins gave birth to Moodscope. (moodscope.com)
- Prior to the birth you will speak to your consultant or midwife about your choices for pain relief during labour. (hcahealthcare.co.uk)
- I would get through this pain and have my unmedicated birth! (thismomsays.com)
- Understanding helpful labor positions and strategies to promote labor progress will help you guide your body toward a safe and healthy birth. (emmawell.com)
- Early labor leads to premature birth, which can prove dangerous to your baby. (gramercypaincenter.com)
- Evaluating pain scores by performing lumbar massage with the massage chair on the birthing ball in order to reduce the back pain experienced during birth. (who.int)
Cervix5
- In the latter, the entire uterus is pain-sensitive, while in the former, the pain-sensitive nerve fibres disappear almost completely from the main body of the uterus, but remain in the cervix. (expertsvar.se)
- The results create new opportunities for developing simpler and more effective methods of pain relief, with the focus on the cervix," says Berith Karlsson Tingåker. (expertsvar.se)
- Pain fibers from the uterus coalesce near the cervix in the right and left cervical plexi. (medscape.com)
- It is a type of local anaesthetic which is injected into your spine to numb the nerves in your womb and cervix that send pain signals to your brain. (hcahealthcare.co.uk)
- From the beginning of labor to the full opening (dilation) of the cervix-to about 4 inches (10 centimeters). (msdmanuals.com)
Impulses are transmitted2
- These somatic pain impulses are transmitted primarily via the pudendal nerves, which originate from the second through fourth sacral nerves. (medscape.com)
- These pain impulses are transmitted by afferent, slow conducting, A-delta and C fibers that accompany the sympathetic nerves and enter the spinal cord at the T10 to L1 level. (medscape.com)
Pregnant7
- Her thesis also shows that uterine pain sensitivity differs markedly between pregnant and non-pregnant women. (expertsvar.se)
- So, if you're pregnant and looking for ways to manage labor pain, why not explore acupuncture? (studioacupuncture.com)
- Breathing techniques are usually taught in classes that prepare pregnant people for labor. (leveluprn.com)
- Often this includes a partner who learns these techniques alongside the pregnant person in order to help coach the patient's breathing during labor. (leveluprn.com)
- It might be difficult for pregnant women with spinal cord injuries to predict when they will go into labor or when labor starts. (rolstoelco.com)
- It's not uncommon for a pregnant woman in labor to experience back pain. (gramercypaincenter.com)
- The fear of pain is a feeling put on essential to qualify pregnant women's care the woman through stories of family in order to ensure that the decision on the members, friends and the culture in which mode of delivery considers health gains she is inserted. (bvsalud.org)
Somatic pain2
- As labor progresses, the descent of fetal head and subsequent pressure on the pelvic floor, vagina, and perineum, generates somatic pain, which is transmitted by the pudendal nerve (S2-4). (medscape.com)
- These rapidly conducting somatic pain fibers are relatively difficult to block. (medscape.com)
Uterus1
- Labor is a physiologic process during which the fetus, membranes, umbilical cord, and placenta are expelled from the uterus. (medscape.com)
Catheter1
- After having the catheter inserted, this can be used to top up your pain relief throughout labour. (hcahealthcare.co.uk)
Delivery19
- Be flexible when you are planning for your labor and delivery. (medlineplus.gov)
- Talk to provider about the different types of pain relief for your labor and delivery. (medlineplus.gov)
- It is good to know all of your options so you can make the best plan for your labor and delivery. (medlineplus.gov)
- The researchers studied heat, cold and pressure threshold in the third trimester and all relevant labor and delivery information from electronic medical records, including: cervical dilation, pain scores and labor management data (labor progression medication and pain medication treatment use). (health.am)
- We hope that the models that we created will allow women and their doctors to predict how fast or painful labor will occur so that they can make more informed choices about delivery," said Dr. Reitman. (health.am)
- His was a fast labor: 90 minutes after we were shown to our hospital room and met our labor and delivery nurse, I was holding Oliver against me, huffing his new baby smell deep into my lungs. (nwedible.com)
- A pain management option that's been absent from the delivery room for several years is now making a successful comeback: nitrous oxide, sometimes called laughing gas. (allinahealth.org)
- Successful labor induction leads to a vaginal delivery. (thepainlesspush.com)
- Expectations: Part 2 - Labor and Delivery Welcome to the Part 2 of the 4 Part series on Managing Motherhood Expectations. (parentonboard.com)
- And if there is a probability of premature labor, she must be informed by the delivery department and hospitalized accordingly. (rolstoelco.com)
- This can explain why the body's muscles offer little resistance and labor, and delivery is often quick. (rolstoelco.com)
- Join this webinar to learn about pain medication options, as well as a variety of comfort measures and coping techniques, to assist you during labor and delivery. (emmawell.com)
- The initial assessment of labor should include a review of the patient's prenatal care, including confirmation of the estimated date of delivery. (medscape.com)
- Patients who required treatment of breakthrough pain had higher patient -controlled epidural boluses demands-to-delivery ratio. (bvsalud.org)
- Couples were selected levels significantly effect uterine contrac- randomly from those awaiting delivery in tions, length of labour and the neonate's various hospitals in the summer of 2002. (who.int)
- We estimated our sample size from infor- cilitate labour and delivery. (who.int)
- mation in a German study in which 90% of Among the various methods devised to those surveyed had positive attitudes to the decrease pain during labour in the 20th cen- presence of the husband in the delivery tury, the psychoprophylactic method is no- room [ 4 ]. (who.int)
- Overview of Labor and Delivery Although each labor and delivery is different, most follow a general pattern. (msdmanuals.com)
- Labor usually starts within 2 weeks of (before or after) the estimated date of delivery. (msdmanuals.com)
Abdomen3
- She rated the pain in her abdomen a 10, and the pain in her back a 9. (emofree.com)
- This intense pain,' 'This ring of fire,' 'This pain in my belly,' 'This pain in my abdomen. (emofree.com)
- Cramps and a tightening sensation in your lower abdomen can indicate labor, especially when it happens at a regular and predictable interval (approximately every 10 minutes). (gramercypaincenter.com)
Painful1
- It can help during a long, complicated or especially painful labour. (hcahealthcare.co.uk)
Stages1
- Obstetricians have divided labor into 3 stages that delineate milestones in a continuous process. (medscape.com)
Duration of labor1
- Some studies suggest that acupuncture may reduce the duration of labor. (studioacupuncture.com)
Vagina4
- When you are in active labor, this mucus plug starts to loosen and comes out of your vagina as pinkish or brownish jelly-like spots. (gramercypaincenter.com)
- Water breaking is a normal indication of labor, and is characterized by a sudden discharge of fluid from your vagina. (gramercypaincenter.com)
- A small discharge of blood mixed with mucus from the vagina is usually a clue that labor is about to start. (msdmanuals.com)
- Usually, the fluid-filled membranes that contain the fetus (amniotic sac) rupture when labor begins, and the amniotic fluid flows out through the vagina. (msdmanuals.com)
Physically2
- I dont remember the pain as much as being so physically exhausted and wanting to sleep. (babycenter.com)
- It's no secret that labor can be one of the most physically challenging experiences a woman may face. (studioacupuncture.com)
Headache1
- Despite being racked with pain from a piercing headache, labored breathing, a sore throat, along with high fever - all symptoms of the Coronavirus infection - Doctor Elia appears content and has a positive attitude amidst the pandemic. (who.int)
Naturally1
- many moms who are experiencing back pain in labour will naturally lean forward or get on their hands and knees to reduce the sensation of pain but these positions can also help the baby to turn into a better position). (healthunit.com)
Fetal head1
- Near the end of the first stage of labor, the fetal head begins to descend, causing perineal distention and activating somatic nociceptive pathways. (medscape.com)
Approaches1
- Complementary and alternative approaches to pain relief during labor. (bvsalud.org)
Anesthesia1
- A partial or total loss of memory, one of the phases of general anesthesia and a possible side effect of some of the pain management options. (thepainlesspush.com)
Medication2
- When choosing medication for labor, keep in mind they can have an impact on your baby and they won't take away the pain, only relieve it. (qualityhealth.com)
- Medication can be injected around a nerve to provide controlled loss of pain/sensation controlled by those nerves. (thepainlesspush.com)
Intense pain2
- Pain management is especially important during labor, because labor, typically, is long-lasting and involves strong and intense pain. (leveluprn.com)
- For many expecting mothers, it's felt like a dull but intense pain, with a severity hindering their daily functioning. (gramercypaincenter.com)
Sensitivity to pain1
- Very rarely you may experience increased sensitivity to pain despite the fact that you are taking increasing doses of these tablets (hyperalgesia). (who.int)
Involve1
- The mechanisms of labor, also known as the cardinal movements, involve changes in the position of the fetus's head during its passage in labor. (medscape.com)
Management7
- The resulting organization, the Oil and Natural Gas Industry Labor-Management Committee, has two main purposes: to work for jobs-job retention, job growth-and to create communications campaigns around legislation that might squelch oil and natural-gas development. (prospect.org)
- This can be very empowering as an additional tool to ensure your pain management wishes are followed. (healthunit.com)
- CONCLUSION: Pain management could potentially be important to improve labor outcomes for adults with CP, in addition to improving the quality of life. (lu.se)
- Experience the harmony of natural pain management for a memorable birthing experience. (studioacupuncture.com)
- Pain management does not always require the use of medicines. (leveluprn.com)
- Sacral counterpressure is a technique of pain management used often during labor. (leveluprn.com)
- These techniques are an important pain management tool during labor. (leveluprn.com)
Stage labor1
- Black women had slower early stage labor, which could last over 36 hours. (health.am)
Latent3
- The first stage of labor includes the latent and active phases. (medscape.com)
- Pain and anxiety between groups were compared during the latent phase (2-4 cm cervical dilation) and active phase (5-7 cm). (thecamreport.com)
- Adding music to routine care resulted in significantly lower pain and anxiety, and a higher finger temperature during the latent phase of labor compared to routine care alone. (thecamreport.com)
Indication2
- Labour pain is usually an indication that everything is going the way it should be. (healthunit.com)
- Albeit being an indirect indication, upper back pain during a certain period accompanied by certain symptoms can give you an idea of whether or not you are already in labor. (gramercypaincenter.com)
20221
- I would argue that the future of labor is one of the most important - if often overlooked - stories in the tech world in 2022. (techcrunch.com)
Analgesics2
- With systemic analgesics, some women have an easier labor and feel more relaxed. (medlineplus.gov)
- Acupuncture is a natural and non-invasive method for managing labor pain, which doesn't carry the risks associated with medical analgesics. (studioacupuncture.com)
Stimulation2
- Tenscare Maternity TENS are specifically designed and clinically proven to provide effective labour pain relief by sending TENS stimulation through 4 electrode pads placed on your back. (tenscare.co.uk)
- This is followed by the careful selection and stimulation of specific acupuncture points associated with pain relief and labor progression. (studioacupuncture.com)
Nitrous oxide1
- however, studies have not shown negative effects to babies whose mothers used nitrous oxide during labor. (allinahealth.org)
Onset2
- With the onset of labor - the pains begin. (audiobooks.com)
- Labour market consequences of cerebral palsy in Sweden: Essays on the impact of an early-onset disability. (lu.se)
Baby11
- It lessens the pain as the baby passes through the numbed area. (medlineplus.gov)
- Sometimes, the baby is born before the woman can get pain medicine. (medlineplus.gov)
- The health and safety of you and your baby come first, so your provider may recommend one type of pain relief for you over others. (medlineplus.gov)
- I was like yeah I don't think I'm in labor with baby 2. (babycenter.com)
- The pain to me was manageable because I knew why it was happening and it would stop when the baby was born. (babycenter.com)
- Baby 1, 20 hours of labor, top pain at a 9 and I ended up getting an epidural. (babycenter.com)
- Baby 2, 7 hours of labor, top pain at a 7, no pain meds. (babycenter.com)
- Your baby is in a position that gives you more back pain. (healthunit.com)
- Unlike other options, TENS is completely side effect free for both mother and baby and allows you to be in complete control of your own labour pain relief. (tenscare.co.uk)
- As a holistic approach , acupuncture for labor pain aligns with the body's natural processes, ensuring a healthier experience for both mother and baby. (studioacupuncture.com)
- In some cases, however, parents report having experienced upper back pain as well during labor and before their baby arrives. (gramercypaincenter.com)
Women14
- Most women choose an epidural to manage the pain of their labor. (medlineplus.gov)
- Other women plan on pain medicine, but they arrive at the hospital too late. (medlineplus.gov)
- Pain relief is important for women in labour. (cochrane.org)
- This genetic difference is common in Asian women and may account for findings that Asian women transition to active labor later. (health.am)
- Heavy women also had much slower early labor. (health.am)
- Women in Sweden and around the world, many of whom have no access to pain relief, are literally crying out for them. (expertsvar.se)
- The women used a visual analogue scale ( VAS ) to record their pain. (thecamreport.com)
- The authors concluded, "Music listening is an acceptable and non-medical coping strategy for laboring women. (thecamreport.com)
- Especially… in reducing the pain and anxiety for women who are at the early phase of labor. (thecamreport.com)
- Some women do not tolerate pain well? (thismomsays.com)
- While the intensity of these pain sensations may vary depending on the extent of paralysis, some women with spinal cord injuries have reported feeling discomfort or even pain during labo r or other signs of something going on, like mild stomach pain, muscle spasms, a stuffy nose, a slight rise in blood pressure, or even autonomic dysreflexia. (rolstoelco.com)
- Most women do not know exactly how their labor will go, how they will cope with the pain, or what they will need until they are in labor. (medlineplus.gov)
- We hypothesized that women with lower numeric literacy have a higher rate of provider-administered supplemental boluses for breakthrough pain because they do not understand the concept behind patient -controlled epidural boluses. (bvsalud.org)
- bupivacaine requirement was higher in women with breakthrough pain . (bvsalud.org)
Back pain6
- she rated her belly pain at an 8 and said her back pain was a 0. (emofree.com)
- Is Upper Back Pain a Sign of Labor? (gramercypaincenter.com)
- However, it's lower back pain alongside other symptoms that are most suggestive of labor or back labor. (gramercypaincenter.com)
- Overall, upper back pain in itself doesn't usually indicate labor unless it's accompanied by or triggered by other direct symptoms of labor, or referred from lower back pain. (gramercypaincenter.com)
- However, one cannot rule out that upper back pain may be related to preterm labor. (gramercypaincenter.com)
- Below are some signs you might feel alongside back pain if you are experiencing early labor. (gramercypaincenter.com)
Anxious1
- Eventhough I have been through labor once before, I have very anxious to go through it again! (thismomsays.com)
Cerebral1
- The prevalence of pain is estimated to be high among individuals with cerebral palsy (CP). (lu.se)
Hurts3
- labor hurts, I understand. (emofree.com)
- It hurts now, but the pain will lessen as you tweeze more often. (brownfamile.com)
- Waxing hurts at first but again, with repeated waxing, the pain diminishes as does the return of the hair (added benefit to waxing). (brownfamile.com)
Intervals1
- The pain-relieving effect is prolonged, thus Vendal retard tablets can be taken in intervals of 12 hours. (who.int)