Obstetrics Book

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Active Labor Anesthesia

Aka: Active Labor Anesthesia, Labor Analgesia, Labor Anesthesia
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  1. See Also
    1. Non-Pharmacologic Pain Control in Labor
  2. Preparations: Systemic (30 minutes to 2 hours relief)
    1. Nalbuphine (Nubain) 10 mg IV, IM or SC q3-6 hours prn
    2. Butorphanol (Stadol)
      1. Intravenous: 1-2 mg
      2. Intramuscular: 1-4 mg q3-4 hours prn
    3. Fentanyl (Sublimaze) 50-100 ug IV every hour prn
    4. Consider Patient Controlled Analgesia with Fentanyl, alfenta, or remifentanil
  3. Preparations: Spinal Anesthesia (3-6 hours relief)
    1. Indications
      1. Cervix dilated to 4 cm or beyond
    2. Options
      1. Intrathecal Morphine
      2. Epidural Anesthesia
      3. Combination Regional Anesthesia in Labor (Walking Epidural)
  4. Preparations: Regional Labor Anesthesia
    1. Paracervical Block
    2. Pudendal Block

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