Public Awareness - PAIN RELIEF IN LABOUR

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	DIFFERENT TECHNIQUES AVAILABLE FOR LABOUR ANALGESIA
	TENS
	Psycho prophylaxis - Lamaze Technique
	Systemic Analgesics
	Opiods
		Morphine
		Pethidine
		Tramadol, Butorphanol, Pentazocine, Buprenorphine, etc.
		Fentanyl, Sufentanyl, Alfentanyl
	Barbiturates
	Benzodiapines
	NSAID's
	Spasmolytics
	IV Anaesthetics Ketamine
	Inhalational Anaesthetics
		Entonox
		Savofluorane, etc.,
	Regional Techniques
		Lumbar Epidural Analgesia.
		Spinal Analgesia
		Combined Spinal Epidural Analgesia
		Lumbar Sympathetic Block.
		Pudendal Nerve Block, Paracervical Block, Perennial infiltration

Lamaze technique

This is no analgesia but it is the mental preparation of the patient to accept the pains and modification of her response to pain. This technique is useful only in about 2% - 3% of labouring women and many studies have undoubtedly disproved its efficiency

Systemic Analgesics
	Opiods - Inj Pethidine
	Inj Morphine etc.,
These are the most popular methods among the obstetricians merely because the ease of availability and the ease of administration. They do cause some respiratory depression in the newborn but it is rare, hence they are reasonably safe. But, the pain relief achieved is far from adequate.

Entonox

A 1:1 mixture of oxygen and nitrous oxide premixed in a cylinder for administration via a specialized instrument. This is very popular in UK among the midwifes, again because of the ease of administration but, the efficiency and safety are not to acceptable standards

Neuraxial Blocks
	Spinal Analgesia
	Epidural Analgesia
	Combined Spinal and epidural Analgesia

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ISA KANYAKUMARI

Public Awareness

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