pain relief and confort during labour pptx.pptxpptx

PAIN :-Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage
Pain is a common
labour symptom and located
in the abdomen, back ,
pelvis floor, perineum
or other location.
factors- Uterine contraction
Cervix dilatation
Hormonal changes
Pressure on cervix from the fetus
Parity ( primipara need pain management more frequently then multipara)
Pain threshold of the women
Coping machanism
Surrounding environments
1. sedatives and analgesics
pethidine 50-100mg/IM
Fentanyl 50-100mg/IM
Morphine 1mmg/IM
Meperidine 5-25mg (IM/IV)

1. Pain relief and comfort during labour Submitted to :- Ms. Pooja pal [Lecturer obstetrical and gynaecological nursing]

2. Introduction PAIN :-Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage.

3. Labour pain Pain is a common labour symptom and located in the abdomen, back , pelvis floor, perineum or other location.

4. Factor which affect the intensity of pain in women in labour

5. Uterine contraction Cervix dilatation Hormonal changes Pressure on cervix from the fetus Parity ( primipara need pain management more frequently then multipara ) Pain threshold of the women Coping machanism Surrounding environments

6. Methods of pain relief

7. Pharmacological method 1. sedatives and analgesics pethidine 50-100mg/IM Fentanyl 50-100mg/IM Morphine 1mmg/IM Meperidine 5-25mg (IM/IV)

8. Pudendal block A pudendal nerve block is an injection in your pelvic region that can provide temporary pain relief.  It is given prior to episiotomy suturing or forecep delivery.

9. Epidural anasthesia It is the safest and simplest method for pain relief. in which anesthetic medications are injected into the epidural space( L2-L3) by epidural needle  to block sensory and motor spinal nerve roots.

10. Inhalation gas N2O in the form of entonox onset of action ( 1-2min ) for short action effect [2-8min].

11. Spinal anasthesia The drug into the subarchnoid space of L3 and L4 interspace

12. Perineal infiltration It is done 2- 3 min before performing episiotomy. In this 10 ml of lignocaine is infiltration in fan wise manner .

13. Non – pharmachological Positiong Breathing techniques Massage technique Acupunture Acupressure Pscychoprophylaxis

14. Positioning Abdominal lifting Sitting position

15. semi- Sitting

16. Rocking slow dancing

17. Sitting backward on a chair

18. Sitting forward lean

19. Standing forward lean

20. Sitting upright on birthing ball

21. Birthing ball knee

22. Laying on side

23. Hands and knee

24. BIRTHING BALL EXERCISE

25. How to do Place a yoga mat on the floor and keep the birthing bal. Assist the mother to sit over the ball comfortably . Try variety of comfortable position on birthing ball to relieve pain in labour. Hold the mother and start initially with breathing technique 1-10 count after that for and through move.

26. Benefits Release the mother tension Promote circulation of blood Relieve pain and improve general health Promote comfort Reduse labour pain Induce labour

27. Contraindications Women with rupture of membranes Mother having previous c- section Mother with infection

28. Breathing technique Slow breathing inhale slwo through the nose and exhale through mouth .

29. Massage technique Hand and feet massage Back massage BENEFITS OF MASSAGE reduce anxity depression stress during labour act as a natural pain killer

30. Acupuncture Acupuncture is traditional chinesse medical practice that involve insertion of thin needle into specific points on the body . In this pressure is put on the various point n the body by insertion of needles which can produce sedation and analgesic through the release of beta- endorphine .

31. Acupressure Acupressure is similar to acupuncture, but the person uses their fingers instead of needles to work the point.

32. OTHER Music therapy Diversional therapy Hydrotherapy Meditation

33. Psychoprophylaxis A method of preparing women for natural child birth by mean of spacial breathing and relaxation . In this methods use to prepare women for labour and manage labour pain. It is a key component of many child birth education program .

34. Role of nurse Education Relaxation technique Breathing technique Positioning Partner involvement Physical preparation Pain management Supportive environment Communication Postpartum preparation

35. SummArization Definition of pain Definition of labour pain Factor affecting intensity of pain Methods of relief pain Pharmacological Non-pharmacological Positiong Breathing techniques Massage technique Acupunture Acupressure Psychoprophylaxis Role of nurse

36. Refrences Books :- Dutta`s DC, “a text book of obstetrics,10 th edition2023,published by JAYPEE medical publisher, page no-.126-135 Kaur sandeep , “textbook of midwifery and obstetrical nursing, published by CBS publisher and distributor pvt ltd 2021( delhi ), page no 635-644. Internet:- https://www.slideshare.net/slideshow/pain-management-during-labor-and-delivery-updatedpptx/259505578