Académique Documents
Professionnel Documents
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Support
2016
Wise Words
Birth is not only about making
babies. Birth is about making
mothers- strong, competent,
capable mothers, who trust
themselves and know their inner
strength
Complement Partners
Support
Build on anything that seems to be
working already
Fosters a meaningful experience
for the new family
Can help you out when youre
trying to multi-task
Examples of
Support/Techniques
Hypnobirthing
Superficial Heat
Superficial Cold
Hydrotherapy
Soothing Touch/ Effleurage
Massage
Therapeutic Touch
Brooke Flinders, MSN, RN, CNM
More Techniques
Acupressure
Aroma Therapy
Birthing Ball
Intradermal Injections
Position Changes
Timing of Medication
After complete assessment, an
analgesia agent is generally
administered when cervical change
has occurred - pain medication
given too early may prolong labor
and depress fetus
Nursing Management
Nubain and Stadol may cause fetal
respiratory depression at birth if
given too late in labor, but are good
options in earlier active phase
Maternal and fetal vital signs must
be stable before systemic drugs
may be administered (Baby should
be reactive)
Brooke Flinders, MSN, RN, CNM
Nursing Management
Assess mother and fetus and
Epidurals
Injection of anesthetic agent into
epidural space
Produces little or no feeling to area
from uterus downward
Pushing during second stage of
labor may be impaired due to lack
of sensation
Hypotension is most common side
effect
Brooke Flinders, MSN, RN, CNM
Epidurals
May preload with crystalloid
Continuous Epidural
Infusions
Provide good analgesia
Produce less nausea and provide
greater ability to cough
May produce breakthrough pain,
sedation, respiratory depression
Itching and hypotension are side
effects
Spinals
Local anesthetic agent injected
directly into spinal canal
Level of anesthesia dependent
upon level of administration
May be administered higher for
cesarean birth or lower for vaginal
birth
Pudendal Block
Local anesthesia injected directly into
Local
Local anesthesia injected into
Complications
Regional anesthesia administered per
spinal or epidural route can cause:
Complications
Elevated
temperature with
epidural anesthesia
Possible neurologic damage
IV access is established
Assist anesthesiologist by
applying cricoid pressure during
placement of endotracheal tube
Complications/
Considerations
Fetal depression
If mother receives general anesthesia, infant
may have respiratory depression
Method not advocated when infant is
considered high risk