Medical Uni References – Pregnancy Issue and Contraceptive Prevalence Rate

Some types of pain relief will only be available in large or teaching hospitals, others are widely available in all hospitals. Your midwife will also be able to offer you certain types during a home delivery.

Regional anaesthetics

These remove sensation from part of your body by blocking the transmission of pain from nerve fibres. Caudal anaesthesia is administered by an injection into your spinal area around the sacrum, and numbs your vagina and perineum. This may be used for short-term relief if the birth involves a vacuum extraction or forceps delivery.

To administer a pudendal block, anaesthesia is injected straight into your vagina near the pelvic region, blocking the pudendal nerve. This numbs the lower part of your vagina, and may be used if you have an episiotomy.

The most widely used form of this type of anaesthesia is the epidural block. Most mothers who have a Caesarean have an epidural instead of a general anaesthetic, which allows them to stay awake throughout the birth.

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If it looks as if the baby will be born at home without medical assistance, you should telephone the hospital or the midwife if you haven’t done so already. If you haven’t got a telephone, on no account should you leave the mother alone.

However anxious and overwhelmed you are, you must stay calm and reassure her – she needs to feel confident and relaxed. Encourage her to take up any positions in which she feels most comfortable and to eat and drink if she feels like it. Speak quietly and keep any onlookers at bay.

Between contractions

Turn up the heating in the room if at all possible. Wash your hands thoroughly in soap and water, and then fetch several clean bath towels and place them conveniently to hand. Fold one and put it on the bed or floor so that you have something soft on which the baby can be laid. Read the rest of this entry »