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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]
Labor pains have both visceral and somatic components. [23] During the first and second stages of labour, uterine contractions cause stretching and opening of the cervix. This in turn triggers visceral pain in the inner cervix and lower segment of the spine. [28]
Braxton Hicks contractions are often confused for labor. Braxton Hicks contractions allow the pregnant woman's body to prepare for labor. [1] However, the presence of Braxton Hicks contractions does not mean a woman is in labor or even that labor is about to commence. [1] Another common cause of pain in pregnancy is round ligament pain. Table 1.
Maternal stress experienced during labor and delivery can induce DOL. [18] Stress levels can be influenced by factors including the way of labor, duration of labor and degree of post-surgical pain after a cesarean surgery (c-section). [14] Unscheduled cesarean delivery and long labor duration place excessive pressure on the mother and the fetus ...
Prolonged labor is the inability of a woman to proceed with childbirth upon going into labor. [1] Prolonged labor typically lasts over 20 hours for first time mothers, and over 14 hours for women that have already had children. [ 1 ]
The pain experienced during dilation is similar to that of menstruation (although markedly more intense), as period pains are thought to be due to the passing of endometrium through the cervix. Most of the pain during labor is caused by the uterus contracting to dilate the cervix.
3. Severe Pain: Intense pain that is disproportionate to normal labor pain. 4. Fetal Distress: Signs like abnormal heart rate patterns detected via fetal monitoring. 5. Maternal Exhaustion: Extreme fatigue in the mother due to prolonged labor. 6. High Station: The baby’s head remains high in the pelvis and doesn’t descend despite strong ...
An old cesarean scar may undergo dehiscence; with further labor the woman may experience abdominal pain and vaginal bleeding, though these signs are difficult to distinguish from normal labor. Often a deterioration of the fetal heart rate is a leading sign, but the cardinal sign of uterine rupture is loss of fetal station on manual vaginal exam.