💊Analgesia options during labour 🌟

🕧during 1st stage;

✅Entonox (inhalation, need to educate patient properly about the technique) ⚠️ not available during COVID -19 pandemic as it is aerosol inducing.

✅Epidural analgesia or CSE (combine spinal epidural anaesthesia)

✅IM Pethidine 50/75/100mg (1mg/kg)
✅IM Nubain
✅IM Tramal

Non pharmacological measures;
-Aromatherapy
-Calming music
-Partner/companion during labour

🕒during 2nd stage;

✅ local anesthesia or pudendal block before episiotomy & instrumental delivery

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