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Labor Sedation
Aka: Labor Sedation, Latent Labor Anesthesia
- See Also
- Active Labor Anesthesia
- Non-Pharmacologic Pain Control in Labor
- Epidural Anesthesia
- Intrathecal Morphine
- Paracervical Block
- Pudendal Block
- Preparations: Intrapartum Analgesia (Use with sedation medications)
- Morphine Sulfate
- Intravenous: 2-4 mg
- Intramuscular: 10-15 mg
- Meperidine (Demerol)
- Dosing
- Intravenous: 25-50 mg
- Intramuscular: 50-75 mg
- Precautions: Not recommended
- No benefits in First Stage of Labor
- Associated with higher rate of Newborn Distress
- Sosa (2004) Am J Obstet Gynecol 191:1212-8 [PubMed]
- Preparations: Sedation in latent phase: Phenothiazine
- General
- Less risk of neonatal depression except high dose
- Preparations
- Hydroxyzine (Vistaril)
- Oral: 100 mg PO qhs prn
- Intramuscular: 50-100 mg
- Intravenous: 50 mg IV
- Promethazine (Phenergan)
- Oral, Intramuscular, or rectally: 25 to 50 mg
- Intravenous (not FDA approved): 12.5 to 25 mg
- Preparations: Sedation in latent phase: Barbiturates
- Not recommended
- Secobarbital (Seconal) 100 mg PO or IM
- Risk of neonatal depression (potentiated by Opioid)
- No known antagonist