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Pethidine is the most widely used opioid in labour and delivery. [16] It has fallen out of favour in some countries, such as the United States, in favour of other opioids, due to its potential drug interactions, especially with serotonergics, and its neurotoxic metabolite, norpethidine. [10]
The use of morphine and scopolamine in twilight birth also positioned drug intervention as the main measure used in pain management during labor. [4] Because twilight birth was performed in a hospital setting, it greatly contributed to changing childbirth from a home event to a medicalized hospital procedure.
Pain management during childbirth is the partial treatment and a way of reducing any pain that a woman may experience during labor and delivery. The amount of pain a woman feels during labor depends partly on the size and position of her baby, the size of her pelvis, her emotions, the strength of the contractions, and her outlook. [1]
Getting an epidural during labor is linked with a decrease in severe maternal morbidity in the first few weeks after delivery. These severe complications can include heart attack, heart failure ...
This level, called moderate sedation/analgesia or conscious sedation, causes a drug induced depression of consciousness during which the patient responds purposefully to verbal commands, either alone or accompanied with light physical stimulation. Breathing tubes are not required for this type of anesthesia. This is twilight anesthesia. [2]
Childbirth can occur during natural sleep, [26] and under excessively heavy sedation, including alcohol intoxication. [27] A diverse list of medical disorders have led to delivery during coma, including head injury, antepartum bleeding, severe hypotension and hypothermia. [28] Of these the commonest is eclampsia. [29]
Obstetric anesthesia or obstetric anesthesiology, also known as ob-gyn anesthesia or ob-gyn anesthesiology, is a sub-specialty of anesthesiology that provides peripartum (time directly preceding, during or following childbirth) [1] pain relief for labor and anesthesia (suppress consciousness) for cesarean deliveries ('C-sections').
While the research revealed that both Black and white women facing social inequities experience poorer obstetric pain management, Black women in general are about 10% less likely to receive ...