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Non-Pharmacologic Pain Control in Labor

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1. Non-Pharmacologic Pain Control in Labor

Non-Pharmacologic Pain Control in Labor Non-Pharmacologic Pain Control in Labor Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Non (...) -Pharmacologic Pain Control in Labor Non-Pharmacologic Pain Control in Labor Aka: Non-Pharmacologic Pain Control in Labor , Labor Alternatives to Analagesics , Natural Childbirth Assistance From Related Chapters II. Management: Beneficial Measures ( ) Decreases obstetric interventions Warm water baths Mixed results on efficacy in studies Safe option for limited period (<1-2 hours) Wait until active labor (cervical dilation >5 cm) Keep water less than III. Management: Unclear efficacy (small or inconclusive

2018 FP Notebook

2. Effectiveness of breathing exercises during the second stage of labor on labor pain and duration: a randomized controlled trial. (PubMed)

Effectiveness of breathing exercises during the second stage of labor on labor pain and duration: a randomized controlled trial. Some research exists on the effect of non-pharmacological approaches for labor pain relief. However, there is limited information about effectiveness of breathing exercises in pregnant women to reduce maternal pain during labor.To determine whether breathing exercises for pregnant women during the second stage of labor have beneficial effects on maternal pain (...) , duration of labor, and the first-minute Appearance, Pulse, Grimace, Activity and Respiration (APGAR) scores.This randomized clinical trial involved 250 pregnant women, who were randomly divided into two groups: intervention group (IG; n = 125) and control group (CG; n = 125). IG received one session breathing exercise training and performed breathing exercises during the second stage of labor versus the CG that did not receive any breathing exercise training.The effects of breathing exercises

2018 Journal of integrative medicine

3. WHO Guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents

Narcotics Control Board INN Iinternational Nonproprietary Name IPOS Integrated Palliative care Outcome Scale kg kilogram L litre mcg microgram mg milligram min minute(s) mL millilitre NCD noncommunicable disease NGO nongovernmental organization NMA network meta-analysis NSAID non-steroidal anti- inflammatory drug NSAIM non-steroidal anti- inflammatory medicine PACSLAC Pain Assessment Checklist for Seniors with Limited Ability to Communicate PAINAID Pain Assessment in Advanced Dementia PICO population (...) OF PAIN RELIEF Recommendation In adults (including older persons) and adolescents with pain related to cancer, non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol, and opioids should be used at the stage of initiation of pain management, either alone or in combination, depending on clinical assessment and pain severity in order to achieve rapid, effective and safe pain control. (Strong recommendation; low-quality evidence) Remarks Patients should be started on an analgesic with a strength

2019 World Health Organisation Guidelines

4. Nitrous Oxide Use for Labor Pain Management

included in this review. A MEDLINE® (Ovid) search based on the search strategy of the AHRQ SR did not locate any additional eligible studies. 7 Nitrous Oxide Use for Labor Pain Management Approved January 14, 2016 EVIDENCE SUMMARY The AHRQ SR (Likis, 2012) included a total of 59 studies reported in 58 publications (13 RCTs, 7 crossover RCTs, 4 non-randomized clinical trials, 14 prospective cohorts, 1 retrospective cohorts, 3 case series, 4 case-control studies, 11 cross sectional studies, and 2 trend (...) outcomes among infants of women using N2O and who used other methods of labor pain management, including epidurals, opioids, TENS, and non-pharmacologic methods. This study reported no significant differences between groups in neonatal adaptive capacity scores (NACS). Critical Outcome: Mode of birth Six studies in the AHRQ review compared the mode of birth among women who used N2O to women who used other methods of pain relief and determined that there was insufficient evidence, primarily due to poor

2016 Oregon Health Evidence Review Commission

5. Effects of Intradermal Sterile Water Injections in Women with Low Back Pain in Labor: A Randomized, Controlled, Clinical Trial (PubMed)

Effects of Intradermal Sterile Water Injections in Women with Low Back Pain in Labor: A Randomized, Controlled, Clinical Trial In addition to the pain caused byuterine contractions during labour, continuous and severe back pain is observed in 33% of women. Several pharmacological and nonpharmacological methods are available for managing this pain. Sterile water injection is considered as alternative method for nonpharmacological pain management.To assess the satisfaction level and effectiveness (...) of sterile water injection for back pain among women in labour.Randomized controlled trial.A total of 168 term, healthy women with labour pain and severe back pain were randomized into the sterile water injection (study) and dry injection (placebo) groups. Injections were applied to the rhombus of Michaelis in the sacral area. Pain scores were assessed at 10, 30, 60, 120, and 180 min using a visual analogue scale. Additionally, the need for epidural analgesia, Apgar score, mode of delivery, time

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2018 Balkan medical journal

6. Obstetrical Analgesia in the Estaing Hospital Maternity. A Prospective Database to Study the Determinants of Labor Pain and the Resulting Maternal Non Satisfaction.

Obstetrical Analgesia in the Estaing Hospital Maternity. A Prospective Database to Study the Determinants of Labor Pain and the Resulting Maternal Non Satisfaction. Obstetrical Analgesia in the Estaing Hospital Maternity. A Prospective Database to Study the Determinants of Labor Pain and the Resulting Maternal Non Satisfaction. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x (...) × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Obstetrical Analgesia in the Estaing Hospital Maternity. A Prospective Database to Study the Determinants of Labor Pain and the Resulting Maternal Non Satisfaction. (AOMHE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been

2017 Clinical Trials

7. Birth ball or heat therapy? A randomized controlled trial to compare the effectiveness of birth ball usage with sacrum-perineal heat therapy in labor pain management. (PubMed)

Birth ball or heat therapy? A randomized controlled trial to compare the effectiveness of birth ball usage with sacrum-perineal heat therapy in labor pain management. Labor pain and its management is a major concern for childbearing women, their families and health care providers. This study aimed to investigate the effects of two non-pharmacological methods such as birth ball and heat therapy on labor pain relief.This randomized control trial was undertaken on 90 primiparous women aged 18-35 (...) years old who were randomly assigned to two intervention (birth ball and heat) and control groups. The pain score was recorded by using Visual Analogue Scale (VAS) before the intervention and every 30 min in three groups until cervical dilatation reached 8 cm.The mean pain severity score in the heat therapy group was less than that of in control group at 60 and 90 min after intervention (p < 0.05). In addition there were significantly differences between the pain scores in the birth ball group after

2016 Complementary Therapies in Clinical Practice

8. Comparison of Combined Spinal-epidural Analgesia Versus Epidural Analgesia for Pain Management During Labor

Comparison of Combined Spinal-epidural Analgesia Versus Epidural Analgesia for Pain Management During Labor Comparison of Combined Spinal-epidural Analgesia Versus Epidural Analgesia for Pain Management During Labor - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. Comparison of Combined Spinal-epidural Analgesia Versus Epidural Analgesia for Pain Management During Labor The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier

2018 Clinical Trials

9. Approaches to Limit Intervention During Labor and Birth

, pharmacologic methods mitigate pain, but they may not relieve anxiety or suffering. Data about the relative effectiveness of non- pharmacologic techniques are limited because, until recently, evaluation of labor pain has relied on the use of the numeric pain scale of 1–10, which some have argued is insufficient to assess the complex and multi- factorialexperienceoflabor(32).Asanalternative,acop- ing scale has been developed and approved by the Joint Commission. The coping scale asks, “On a scale of 1 to 10 (...) of continuous electronic fetal monitoring has not been shown to significantlyaffectsuchoutcomesasperinataldeathandcerebralpalsywhenusedforwomenwithlow-riskpregnancies. Multiple nonpharmacologic and pharmacologic techniques can be used to help women cope with labor pain. Women in spontaneously progressing labor may not require routine continuous infusion of intravenous fluids. For most women, no onepositionneedstobemandatedorproscribed.Obstetrician–gynecologistsandotherobstetriccareprovidersshouldbe

2019 American College of Obstetricians and Gynecologists

10. Pain control in surgical abortion part 1 ? local anesthesia and minimal sedation

Pain control in surgical abortion part 1 ? local anesthesia and minimal sedation Reviewarticle SocietyofFamilyPlanningclinicalguidelinespaincontrolinsurgical abortionpart1 —localanesthesiaandminimalsedation RebeccaH.Allen a, ?,RameetSingh b a ObstetricsandGynecology,WarrenAlpertMedicalSchoolofBrownUniversity,WomenandInfantsHospital,101DudleyStreet,Providence,RI02905 b DivisionofFamilyPlanning,DepartmentofObstetricsandGynecology,UniversityofNewMexicoSchoolofMedicine,Albuquerque,NM87131 abstract (...) (mean 6.3 cm vs. 8.9cm, VAS; pb.001)than womenin the sham group [21]. Satisfaction scores with pain control and theprocedurewerehigherintheactivePCBarm. 6. Whatisthemosteffectivemethodofadministeringlocalanesthesia? Tenaculum siteanesthesia Injectedlocalanesthesiaquicklyandeffectivelyreducespain from tenaculum placement [47]. In an RCT among 70 women,1%lidocaine,2 mL,injected into theanterior lip of the cervix reduced pain more with tenaculum placement than2%lidocaine gel,1 mL, topicalapplication

2018 Society of Family Planning

11. Non-Pharmacologic Pain Control in Labor

Non-Pharmacologic Pain Control in Labor Non-Pharmacologic Pain Control in Labor Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Non (...) -Pharmacologic Pain Control in Labor Non-Pharmacologic Pain Control in Labor Aka: Non-Pharmacologic Pain Control in Labor , Labor Alternatives to Analagesics , Natural Childbirth Assistance From Related Chapters II. Management: Beneficial Measures ( ) Decreases obstetric interventions Warm water baths Mixed results on efficacy in studies Safe option for limited period (<1-2 hours) Wait until active labor (cervical dilation >5 cm) Keep water less than III. Management: Unclear efficacy (small or inconclusive

2015 FP Notebook

12. Preoperative Epidural Labor Analgesia and Postoperative Pain

labor analgesia Study Design Go to Layout table for study information Study Type : Observational Estimated Enrollment : 813 participants Observational Model: Case-Control Time Perspective: Retrospective Official Title: The Influence of Preoperative Epidural Labor Analgesia on Postoperative Pain in Parturients Undergoing Cesarean Section: a Retrospective Analysis Actual Study Start Date : September 1, 2017 Estimated Primary Completion Date : August 31, 2018 Estimated Study Completion Date : August 31 (...) by patient-controlled epidural analgesia (infusion rate : 10 ml/hr, bolus : 4 ml, lockout time: 30 min). Non-ED emergent C-sec Non-ED elective C-sec Outcome Measures Go to Primary Outcome Measures : The change of numerical rating scale for postoperative pain [ Time Frame: At postoperative 6h, 24h, 48h, and 72h. ] Secondary Outcome Measures : The change of postoperative analgesic consumption [ Time Frame: At postoperative 6h, 24h, 48h, and 72h. ] Eligibility Criteria Go to Information from the National

2017 Clinical Trials

13. Aromatherapy for Reducing Labor Pain

eligible with inclusion criteria are random to two groups. Aromatherapy group will receive the aromatherapy during labor along with standard pain control. Non-aromatherapy group will receive standard pain control during labor Condition or disease Intervention/treatment Phase Pain Other: Aromatherapy Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 94 participants Allocation: Randomized Intervention Model: Parallel (...) for labor. Pregnant women select type of essential oil. Aroma diffuser is used during labor. Pain score was record during latent, early active and late active phase. No Intervention: Non-aromatherapy This group receive pain control by standard of care without essential oil (aromatherapy) Outcome Measures Go to Primary Outcome Measures : early active phase pain using Visual Analog Scale [ Time Frame: The day of labor ] Visual analog scale used to assess pain during cervical dilate 5-7 cm. Secondary

2017 Clinical Trials

14. The Effect of LI4 Acupressure on Labor Pain Intensity and Duration of Labor: A Randomized Controlled Trial. (PubMed)

group, and a control group in which no pharmacological or non-pharmacological methods of pain relief were used. Pain intensity was measured by visual analog scale before and after the intervention in the first stage of labor. Pressure or touch was applied for 30 minutes during uterine contractions.The difference in the pain scores between the acupressure and control group was statistically significant (p<0.001) but there was no statistically significant (p=0.942) difference in the duration (...) The Effect of LI4 Acupressure on Labor Pain Intensity and Duration of Labor: A Randomized Controlled Trial. To evaluate the effect of LI4 acupressure on labor pain and duration during the first stage of labor.Parturient women (n=149) with singleton pregnancies in the active phase of spontaneous labor, without any medical or obstetric problems, were enrolled in this single-blinded, randomized, clinical trial. Participants were placed into one of three groups: an LI4 acupressure group, a touching

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2015 Oman medical journal

15. CRACKCast E180 – Labor & Delivery

are overrepresented in the ED population. While we want to transfer all pregnant women to an obstetric centre, in some situations this is the WRONG decision 1) Describe the difference between false and true labor Whenever a woman in the third trimester shows up to the ER: ask whether this could be labour. A wide array of nonspecific symptoms may herald the onset of labor. Abdominal pain, back pain, cramping, nausea, vomiting, urinary urgency, stress incontinence, and anxiety can be symptoms of labor. After 24 (...) . At this point, reduce the infusion rate to 1 to 2 mL/min. 7) List 8 factors linked to pre-term labor. Describe the management of premature labor in the ED. List 3 tocolytics. Preterm labor is defined as uterine contractions with cervical changes before 37 weeks of gestation. Early maternal signs and symptoms include an increase or change in vaginal discharge, pain resulting from uterine contractions (sometimes perceived as back pain), pelvic pressure, vaginal bleeding, and fluid leak. Box 181.2 – Factors

2018 CandiEM

16. Optimal Regimen of Patient-controlled Epidural Analgesia in Laboring Patients

Method: Non-Probability Sample Study Population Laboring women receiving combined spinal epidural analgesia for pain relief Criteria Inclusion Criteria: Parturients receiving Combined Spinal epidural analgesia for labor pain relief. Exclusion Criteria: Any patient with failed epidural, delivery within 2 hours of epidural insertion, or Cesarean section will be excluded from the study. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you (...) Optimal Regimen of Patient-controlled Epidural Analgesia in Laboring Patients Optimal Regimen of Patient-controlled Epidural Analgesia in Laboring Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2018 Clinical Trials

17. Effect of dance labor on the management of active phase labor pain & clients' satisfaction: a randomized controlled trial study. (PubMed)

Effect of dance labor on the management of active phase labor pain & clients' satisfaction: a randomized controlled trial study. There are a wide variety of non- pharmacologic pain relief techniques for labor which include pelvic movement, upright position, back massage and partner support during the first stage of labor. The effectiveness of dance labor- which is a combination of these techniques- has not been evaluated.This study aimed to evaluate the effectiveness of dance labor in pain (...) reduction and woman's satisfaction during the first stage of labor.60 primiparous women aged 18-35 years old were randomly assigned to dance labor and control groups. In the dance labor group, women were instructed to do standing upright with pelvic tilt and rock their hips back and forth or around in a circle while their partner massaged their back and sacrum for a minimum of 30 minutes. In the control group, the participants received usual care during physiologic labor. Pain and satisfaction scores

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2014 Global journal of health science

18. Approaches to Limit Intervention During Labor and Birth

-risk pregnancies. Multiple nonpharmacologic and pharmacologic techniques can be used to help women cope with labor pain. Women in spontaneously progressing labor may not require routine continuous infusion of intravenous fluids. For most women, no one position needs to bemandated or proscribed. Obstetrician–gynecologists and other obstetric care providers should be familiar with and consider using low-interventional approaches, when appropriate, for the intrapartummanagement of lowrisk women (...) amniotomy need not be undertaken unless required to facilitate monitoring. To facilitate the option of intermittent auscultation, obstetrician–gynecologists and other obstetric care providers and facilities should consider adopting protocols and training staff to use a hand-held Doppler device for low-risk women who desire such monitoring during labor. Use of the coping scale in conjunction with different nonpharmacologic and pharmacologic pain management techniques can help obstetrician–gynecologists

2017 American College of Obstetricians and Gynecologists

19. Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor: A Sequential Allocation Trial to Determine the Optimum Interval Time Between Boluses of a Fixed Volume of 2.5ml of Bupivacaine 0.25% Plus Fentanyl 8 mcg/ml

Phase Labor Pain Drug: Bupivacaine Not Applicable Detailed Description: The investigators have conducted several studies aimed at establishing the optimum PIEB regimen for the patient population at Mount Sinai Hospital. The first study was to determine the effective interval of PIEB in 90% of women during first stage of labor (EI90), while using a fixed bolus of 10 mL of bupivacaine 0.0625% with fentanyl 2 μg/mL. This study showed that the PIEB time interval to provide effective analgesia (...) doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 55 Years (Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: American Society of Anesthesiologists Physical Status II or III Full term (greater than or equal to 37 weeks gestation) Nulliparous Singleton pregnancy, vertex presentation Active labor defined as regular painful

2018 Clinical Trials

20. Comparing epidural surgical anesthesia and spinal anesthesia following epidural labor analgesia for intrapartum cesarean section: a prospective randomized controlled trial (PubMed)

Comparing epidural surgical anesthesia and spinal anesthesia following epidural labor analgesia for intrapartum cesarean section: a prospective randomized controlled trial The conversion of epidural labor analgesia (ELA) to epidural surgical anesthesia (ESA) for intrapartum cesarean section (CS) often fails, resulting in intraoperative pain. Spinal anesthesia (SA) can provide a denser sensory block than ESA. The purpose of this prospective, non-blinded, parallel-arm, randomized trial (...) was to compare the rate of pain-free surgery between ESA and SA following ELA for intrapartum CS.Both groups received continuous epidural infusions for labor pain at a rate of 10 ml/h. In the ESA group (n = 163), ESA was performed with 17 ml of 2% lidocaine mixed with 100 µg fentanyl, 1 : 200,000 epinephrine, and 2 mEq bicarbonate. In the SA group (n = 160), SA was induced with 10 mg of 0.5% hyperbaric bupivacaine and 15 µg fentanyl. We investigated the failure rate of achieving pain-free surgery

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2017 Korean journal of anesthesiology

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