What is the biggest advantage of regional pain management ( epidural, spinal, intrathecal, infiltration )?
Good pain control but mom can still participate in the delivery
100
What is the most common drug class used for systemic pain management for labor?
What is opiods
Demerol, Sublimaze, Stadol, and Nubain
100
Name 3 advantages of non-pharmacologic pain management during labor?
no side effects
won't slow labor
no allergy risks
Limitation? May not receive desired level of pain control
100
Is pain objective or subjective?
Subjective
Each patients response to the pain of labor will be unique
100
Name 3 PHYSIOLOGICAL factors that influence the PERCEPTION of labor pain
intensity of labor
cervical readiness
fetal position
pelvis size and shape
fatigue and hunger
200
Where is an epidural placed and what are the contraindications?
Epidural space between the dura and the spinal cord at the level of the 3rd and 4th vertebrae (below the spinal cord)
Contra: low platlets, hypovolemia, spinal abnormalities, dire fetal condition
200
What is the Demerol warning?
Long lasting metabolite with a half-life of 15-23 hrs in the newborn
200
It is thought non-pharmacological pain methods provide relief through what pain control theory?
What is the difference between and epidural and a spinal?
Same prep
Into the subarachnoid space in a single dose.
3rd, 4th, or 5th lumbar interspace
loss of sensory and motor function below the level of the block
Quicker than epidural
Worse maternal hypotension
400
Narcotic antagonist
What is Narcan
Do not give to infants of opioid addicted moms