Obstetrics Book

Natural Childbirth



Non-Pharmacologic Pain Control in Labor

Aka: Non-Pharmacologic Pain Control in Labor, Labor Alternatives to Analagesics, Natural Childbirth Assistance, Non-Pharmacologic Pain Management in Labor
  1. See Also
    1. Labor Coaching
    2. Doula
    3. Bradley Method
    4. Hypnosis in Labor
    5. Lamaze Method
  2. Management: Beneficial Measures
    1. Any Stage of Labor
      1. Continuous Labor Support (Doula)
        1. Decreases obstetric interventions
      2. Hypnosis in Labor
        1. Decreases pharmacologic Pain Management in Labor
    2. First Stage of Labor
      1. Warm water baths
        1. Mixed results on efficacy in studies
        2. Safe option for limited period (<1-2 hours)
        3. Wait until active labor (cervical dilation >5 cm)
        4. Keep water Temperature less than Body Temperature
        5. Typically used in First Stage of Labor, but may be used in second stage
        6. Cluett (2018) Cochrane Database Syst Rev (5): CD000111 +PMID:19370552 [PubMed]
      2. Upright Positioning (head above hips)
        1. Lawrence (2013) Cochrane Database Syst Rev (10): CD003934 +PMID:24105444 [PubMed]
      3. Acupuncture
        1. Variable evidence in decreasing need for assisted Vaginal Delivery and Cesarean Section
      4. Intradermal sterile-water injections in sacral area
        1. Four 1 ml injections in various regions of Sacrum
        2. Causes local burning (counterirritation)
        3. Limited evidence from small studies
        4. Derry (2012) Cochrane Database Syst Rev (1):CD009107 +PMID:22258999 [PubMed]
  3. Management: Unclear efficacy or disproven (small, inconclusive or negative studies)
    1. Lumbosacral Massage
    2. Warm showers
    3. Exercise Ball
    4. TENS Unit
    5. Aromatherapy (no proven effect)
    6. Audioanalgesia (no proven effect)
  4. References
    1. Jones (2012) Cochrane Database Syst Rev (3): CD009234 +PMID:22419342 [PubMed]
    2. Leeman (2003) Am Fam Physician 68(6):1109-12 [PubMed]
    3. Simkin (2002) Am J Obstet Gynecol 186:S131-59 [PubMed]
    4. Smith (2021) Am Fam Physician 103(6): 355-64 [PubMed]

Natural Childbirth assistance (C0027484)

Definition (MSH) Labor and delivery without medical intervention, usually involving RELAXATION THERAPY.
Concepts Therapeutic or Preventive Procedure (T061)
MSH D009321
English Childbirth, Natural, Natural Childbirth, childbirth natural, natural childbirth, Natural childbirth, Natural Childbirth assistance, Childbirth (Natural)
Swedish Psykoprofylax
Czech přirozený porod
Finnish Luonnollinen synnytys
Polish Poród naturalny, Poród rodzinny
Portuguese Parto Natural, Parto Normal
French Accouchement naturel
German Sanfte Geburt, Geburt, natürliche, Natürliche Geburt
Italian Parto naturale
Dutch Geboorte, natuurlijke, Natuurlijke geboorte
Spanish Parto Normal
Derived from the NIH UMLS (Unified Medical Language System)

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree