Dr Iliana9
💊
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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