1.analgesia in Obstetric
1.analgesia in Obstetric
1.analgesia in Obstetric
SARVESSWARA
BMS15091423
Stages of Labor
• Divided into 3 stages
I. onset of labor until the cervix is fully dilated.
a. Latent -can persist for many hours and days
b. Active -occurs between 5 to 6 cm dilation
Transmitted via visceral afferent fibers entering the spinal cord from
T10-L1
II. cervix is fully dilated and ends when the neonate is born.
stretching of vaginal and perineal tissues and is transmitted via sacral
somatic fibers
Acupuncture
Acupression
Relaxation
Massage
2. Systemic medications
• Systemic analgesics are used but normally limited by
bolus dose,
dosing interval, and
24-hour cumulative dose.