BTEP
Pain and Pain
Medications
Teaching About Pain Medications
#1 What do people want to know?
#2 What do you want to teach?
#3 YOUR biggest challenges?
Benefits
Risks
Alternatives
Intuition
Nothing
Good
Understand?
Tummy
Desired Effect
Less pain
Sleep
Less suffering
Better experience
Better memories
Less anxiety
Trade-Offs?
More technology required to
keep mom & baby safe
More needles
More augmentation
Restricted movement
Less active participation
Medication gets to baby
Doesn’t work as expected
Give
Accurate
Information
+ Exhaustion
+ Stretch
+ Tension
+ Pressure
= PAIN
Labor Pain Is..
Purposeful
Anticipated
Intermittent
Normal
Pain Coping Scale
Something needs to change!
Analgesia vs. Anesthesia
Analgesia: Pain is still perceived, but is no longer
painful.
Anesthesia The loss of bodily sensation.
Systemic Affects the entire body
Regional Pain relief stays within a
region
Local Pain relief is within a small
area
Sleep Aids
Sedatives
Narcotics
Epidural
Spinal
General
Anesthesia
Sleep Aids and Sedatives
Contractions After the Epidural
Epidural Placement
What the Epidural Looks Like
Epidural Highway
(toll road) Epidural Emotions
Relief from pain
Relief from anxiety
Partners are relieved
Chatty/happy “I love the
epidural”
Boredom
Lack of motivation
Other aches & pains
The “Rollover” (20-30 minutes in each position)
1. Semi-sitting
2. Side-lying, left side
3. Semi-prone, left side
4. Hands and knees or kneel over the ball
5. Semi-prone, right side
6. Side-lying, right side
The “Rollover” (20-30 minutes in each position)
1. Semi-sitting
The “Rollover” (20-30 minutes in each position)
2. Side-lying, left side
The “Rollover” (20-30 minutes in each position)
3. Semi-prone, left side
The “Rollover” (20-30 minutes in each position)
4. Hands and Knees
The “Rollover” (20-30 minutes in each position)
5. Semi-prone, right side
The “Rollover” (20-30 minutes in each position)
6. Side-lying, right side
Second Stage with an Epidural
Use the electronic fetal monitor for
bio-feedback
Use the EFM tracing to
•guide bearing down efforts
•give incentive and “biofeedback”
•“I did it!”
Second Stage with an Epidural
Use the “tug-of-war” move to increase pushing effectiveness
General Anesthsia
THE END
THANK YOU!
What’s In It For Me?
What Might Hurt Me or My Baby?
Physical and Emotional Support During Administration of the Epidural
.
What’s the Experience of Laboring with
Pain Meds?