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Twilight sleep (English translation of the German word Dämmerschlaf) [1] [2] is an amnesic state characterized by insensitivity to pain with or without the loss of consciousness, induced by an injection of morphine and scopolamine, with the purpose of pain management during childbirth. [3]
Twilight anesthesia is also known as twilight sleep and allows an easy awakening and a speedy recovery time for the patient. Anesthesia is used to control pain by using medicines that reversibly block nerve conduction near the site of administration, therefore, generating a loss of sensation at the area administered. Close monitoring by the ...
Epidural analgesia is considered a safer and more effective method of relieving pain in labor as compared to intravenous or oral analgesia. In a 2018 Cochrane review of studies which compared epidural analgesia with oral opioids, some advantages of epidural analgesia versus opioids included fewer instances of naloxone use in newborns, and ...
Most reviews conclude that opioids produce minimal impairment of human performance on tests of sensory, motor, or attentional abilities. However, recent studies have been able to show some impairments caused by morphine, which is not surprising, given that morphine is a central nervous system depressant.
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]
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]
Image credits: justin_agustin 2. Breathe Deeply. Deep, measured breathing is essential. Take a long, slow breath in, and exhale even more slowly. With each breath, consciously release any ...
Fentanyl is a synthetic opioid, 75-125 times stronger than morphine, [3] that acts by activating opioid receptors in the nervous system. Its effects begin in 2–3 minutes, and last 30–60 minutes. Fentanyl provides analgesia and sedative properties; it does not have any amnestic effects.