Obstetrics Book

//fpnotebook.com/

Labor Sedation

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

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