There's no avoiding the fact that labor and delivery can be a painful, stressful event. The expert physicians, midwives, and nurses at Chippenham Hospital in Richmond, Virginia strive to alleviate as much of your pain as possible, and answer all of your questions regarding this crucial part of bringing your new baby into the world.
It is difficult to predict how you will feel during labor, and you should explore all your options ahead of time, including both natural and medical therapies.
Depending on your pregnancy and health history, there are different types of pain management you may choose during your delivery. Talk with your partner and doctor about your choices, and know that even women who have had babies before often forget what to expect. Luckily, there are many safe options for pain management.
Natural Pain Control
The term natural childbirth includes a variety of non-drug methods of coping with labor and birth. In childbirth classes, including the Lamaze method, hypnobirthing, or the Bradley method, you can learn focused breathing, distraction, massage, mental imagery, and other relaxation techniques. Prenatal exercise, yoga classes, or similar physical preparation can also aid your delivery. These exercises help stretch and strengthen muscles. In addition, acupressure may offer natural pain relief during labor.
Many women benefit from a support person other than their partner during labor. This may be a doula, nurse, nurse midwife, or childbirth educator. This person’s job is to provide constant support, massage, calming words, or whatever else you need from early labor through delivery. The support person can also talk to your medical team for you. If possible, meet with your support person during pregnancy to discuss your labor and delivery needs.
Medical Pain Relief
Pain medicines are helpful for many women in labor. Some pain medicines reduce pain while others end it. Most women are still able to feel sensations like pressure while anesthetized.
Pain relievers (analgesics or narcotics) can reduce your pain. You may receive a pain reliever as an intramuscular shot or through an IV. You may receive more than one dose. These drugs may cause nausea and sleepiness. They may also slow the progress of labor. Narcotics may cause the baby to be extra sleepy when born, especially if given too near to delivery. To avoid a sleepy newborn, your doctor will give a pain reliever several hours before the expected time of birth. An overly sleepy baby can be treated with oxygen or medicine.
An epidural can be used for pain relief throughout the labor and birth process.
An epidural is the most common form of anesthesia used during delivery. It can be used for a vaginal delivery or a c-section. An anesthesiologist will administer the epidural when active labor begins. A catheter is inserted into the lower back and rests in the epidural space, which is the space just before the outer membrane of the spinal canal. Medicine is injected into the catheter. The medicine causes numbness and pain relief from your belly button to your toes. A woman can use the epidural for pain relief throughout the labor and birth process.
Spinal anesthesia is similar to an epidural. Like an epidural, it is given in the back and produces numbness from the belly button to the toes. The medicine is injected in one dose directly into the spinal fluid. Spinal anesthesia acts quickly and women get almost instant relief. Because it does not use a catheter, repeat doses of medicine cannot be given easily. Spinal anesthesia is most often used for c-sections or in combination with epidurals.
Nerve blocks are a form of local anesthesia. A pudendal block is an injection given into the vaginal wall to numb the perineum. Given just before delivery, this injection works quickly to reduce pain. The effects last for about one hour.
Local anesthesia may be used in women who did not use another form of regional anesthesia during labor and birth but have a tear or episiotomy that must be repaired after delivery. In these cases, an anesthetic is injected in the area that will be sewn. The effects last for about one hour.