• Corpus ID: 55325234

Pain and epidural use in normal childbirth

@inproceedings{Walsh2009PainAE,
  title={Pain and epidural use in normal childbirth},
  author={Denis Walsh},
  year={2009}
}
  • D. Walsh
  • Published 1 September 2009
  • Medicine
With epidural rates doubling in the UK over the past 20 years, the impact on normal labour and birth is profound. Changes have also occurred in wider birthing milieu, such as the rise of a risk discourse, the diminishing of a ‘rites of passage’ meaning to birth, the growth of obstetric anaesthetic services and the advent of informed choice in maternity care policy. This paper discusses these issues and argues that inadequate service provision and an impoverished approach to labour pain rather… 

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References

SHOWING 1-10 OF 70 REFERENCES
Has medicalisation of childbirth gone too far?
  • W. Camann
  • Medicine
    BMJ : British Medical Journal
  • 2002
TLDR
The widespread use of regional analgesia in labour should be celebrated as one of the blessings of having a baby in this millennium and should also be accompanied by the attitude among all obstetric and anaesthetic care providers that there is nothing “wrong” with women who choose natural childbirth.
The natural caesarean: a woman-centred technique
TLDR
A ‘natural’ approach that mimics the situation at vaginal birth is described, allowing the parents to watch the birth of their child as active participants and the baby to be transferred directly onto the mother’s chest for early skin‐to‐skin contact.
The nature and management of labor pain: part I. Nonpharmacologic pain relief.
TLDR
Nonpharmacologic methods of pain relief such as labor support, intradermal water blocks, and warm water baths are effective techniques for management of labor pain and an increased availability can provide effective alternatives for women in labor.
The nature and management of labor pain: part II. Pharmacologic pain relief.
TLDR
Research is needed regarding which pain-relief options women would choose if they were offered a range of choices beyond epidural analgesia or parenteral opioids, and little evidence supports the use of one agent over another.
Epidural or no epidural anaesthesia: Relationships between beliefs about childbirth and pain control choices
TLDR
Results showed that differences in beliefs about childbirth are related to pain control choices, and women who laboured without an epidural had low fear of childbirth, an internal locus of control for childbirth, and a desire to actively participate in the childbirth process.
A National Survey of Safe Practice With Epidural Analgesia in Obstetric Units
TLDR
Many units are already following the guidance from the NPSA but nearly one in four units have experience of wrong route drug errors related to confusion between systems for intravenous and regional drug administration.
New reasons and new ways to study birth physiology
  • M. Odent
  • Biology
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2001
Decision Making in Laboring Women: Ethical Issues for Perinatal Nurses
TLDR
This descriptive qualitative study asked what factors influence a woman's change in her stated birth preference from an unmedicated birth to a medicated birth, and reflected on the change.
...
...