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NERVE SUPPLY OF GENITAL
TRACT
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NERVOUS CONTROL OF
UTERIE ACTIVITY
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ÊORMONAL CONTROL
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i The intensity of labour pain depends on,
- the intensity & duration of
uterine contraction.
- degree of dilatation of cervix.
- distention of perineal tissue.
- parity & pain threshold of the
subject.
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i Sedatives and analgesics
i Inhalation methods
i Transcutaneous electric nerve stimulation
(TENS)
i Patient controlled anesthesia (PCA)
i Psycho prophylaxis
i Êypnosis
i Regional anesthesia
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i The threshold of pain
i Primigravidae or multipara
i Maturity of fetus
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i First phase
i Second phase
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i It is strong sedative but less analgesic
efficiency.
i Generally used in first stage of labour &
indicated when the discomfort of labour
merges into regular, frequent and painful
contractions.
i ose Ȃ 100mg (1.5mg/kg body wt)
 

 

i Analgesic & sedative
i Causes less respiratory depression to newborn
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i Sedative
i 0-40mg IM
i Causes respiratory depression
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i Sedative and analgesic
i 5-10mg IV
i Facilitate dilatation of cervix

 
i Anxiolytic drug
i ose-0.05mg/kg body wt
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1. Nitrous oxide & air
2. Premixed nitrous
oxide & oxygen
. Trichloroethylene
(trilene)
4. Methoxyflurane,
isoflurane,
enflurane
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i Narcotics are
administered by the
mother herself from a
pump at continuous or
intermittent demand
rate through
intravenous route.
i rugs commonly used
are- pethedine,
meperidine, fentanyl.
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i It is a psychological method of antenatal
preparation designed to prevent or at
least to minimize pain and difficulty
during labour.
i Relaxation& motivation
i Physiology of pregnancy and labour in
antenatal classes
i Exercises
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i Electrodes are placed at
the levels of T10 Ȃ L1 and
S2- S4.
i Current strength can be
adjusted according to pain.
i It works by inhibiting
transmitter release
through inter neuron level.
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when complete pain relief is needed
throughout labour regional anesthesia
is preferred.
i Continuous lumbar epidural block
i Caudal epidural analgesia
i Para cervical nerve block
i Perineal infiltration
i Pudendal nerve block
i Transvaginal route
i Spinal anesthesia
    
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