Interventions for Labour

What is the gate control theory and how does it relate to labour?

The gate control theory is that you can Block pain signals from getting to the brain by distracting the mom. To decrease the amount of pain signals getting to the mom we use distracting techniques to help them.

What are THREE non-pharmalogical technuqies to do to distract the mom thru labour pains?

1. breathing

2. touch/pressure

3. hydrotherapy

the one MAJOR diff between analgesia & anathesia as it pertain to Level of consciousness

angalesia - they are still aware

anathesia - they are unconscious

Opioid-agaonist like morphine, demerol, fentanyl are given in ______ stages of labout but NOT when mom is ______ dilated.

early; 6cm

What is ONE eg of an opioid-antagonist you need to know for this course?

What TWO meds makes it so you canNOT give this med to the mom?

Nalbuphine; Methadone& suboxone

What are Methadone& suboxone used to treat? So if the mom is taking these that means she is battling an ____________ ____________ & cannot recieve opiates in her treatment.

Opioid use disorder; opioid addiction

Nitrous oxide, a analgesic? Or anthesia. How does it help mom get through labout pains?

Analgesiac. used to distract mom but cannot decrease it

What is the MAJOR difference between nitrous oxide as a treatment vs opioids?

what does this mean?

it cannot cross the placenta so NO side effects to the baby.

what are THREE other contradictions to give opioids to help w/ labour pains? (aside from being 6cm dilated)

LATE/EARLY decels

opioid abuser

What is ONE of the key instructions AFTER an epidural we give mom

you are bed rest until birth

What is one major side effect of getting an epidural that we MUST look out for?

HYPOTENSION

let’s say you give a mom, (5cm dilated, normal FHR) morphine IV push to help with labour pain, well an hour later they are ready to push, What would you give now to reverse the affect of the opioids?

narcan

After an epidural, you notice the mom’s BP drops below 90/60 if the mom’s BP decreases the baby’s HR ______ & you adminster A__________ & notify physcian.

decreases; amphedrine.

How can you PREVENT severe hypotension after an epidural? (2 things)

• lay mom flat on back

• give IV bolus of fluids

A SPINAL antatherisa is ONLY used for?

scheduled C-sections

does a Spinal have the same or different Side effects as an epidural? If so, list them below?

SAME

General anesthesia is ONLY used when ______________ doesn’t work. However it is MORE ____________ to the __________.

Spinal; Harmful; baby

General anesthesia ALSO has a higher risk of ____________ to the mom.

So what order must be in place abt 8 HOURS before they are put under?

ASPIRATION; NPO

When you get an epidural and the anesthesiologist may miss the epidural space and now spinal fluid is leaking what sign with manifest on the mom?

Spinal headache

What is a good NON pharm. method to help someone through back pains?

Counter pressurge