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 ...

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 ...