Non medicated pain relief during labor

Pain in labour is normal, but it varies a lot. Some birthing mothers can manage pain in labour, and others want or need pain relief.

During pregnancy, it’s a good idea to talk with your midwife or doctor about labour pain and what you can do to cope with it. They can tell you about your pain relief options, including the benefits, side effects and possible complications of different options. This way you’ll know what to expect and you can say what you prefer.

You can also ask questions and get more information about labour pain at antenatal classes.

Your pain relief options will depend on your preferences and needs, your stage of labour and other health considerations for you and baby. Once labour starts, you might need to be open to suggestions from your midwife or doctor.

Natural pain relief during labour

Non-medical or natural pain relief options might include:

  • meditation, breathing and relaxation techniques
  • heat packs
  • touch and massage
  • water (hot shower or bath)
  • movement
  • positions like standing or leaning on a bed, table or birth ball
  • a TENS machine
  • hypnotherapy, reiki or acupressure
  • sterile water injections.

Also, a calm environment can be a form of natural pain relief. For example, soft lighting can help you manage pain during labour and birth. You might be able to use dimmer switches or lamps to adjust the lighting in the room. Soothing music might help you relax. It’s also OK to ask if you can close doors or draw curtains for privacy.

Having a support person with you during labour can help you to manage pain, help your labour to progress and reduce the chance of birth interventions.

Medical pain relief during labour

Medical pain relief options might include:

  • nitrous oxide
  • morphine
  • epidural.

Some types of pain relief need close checks and follow-up by medical staff to make sure that you and baby are OK. Some options might lead to other birth interventions. Talk to your midwife or doctor during pregnancy to find out more.

Pain relief options in different birth settings

Most pain relief options are available at public hospitals and private hospitals.

Note that some private hospitals don’t offer water births.

Birth centres and homebirths offer a natural approach to birth, so there are fewer medical pain relief options than in hospital settings. It’s likely that the midwives will get you to focus on relaxation, movement, water options and other forms of natural pain relief.

If you’re at a birth centre or having a homebirth and you need an epidural or other birth intervention, you’ll probably be transferred to a hospital birthing suite.

It’s a good idea to tour your hospital or birth centre. You can find out what the birthing rooms look like and see the equipment and facilities.

After the birth, your pain relief options will vary. Many birthing mothers who have a vaginal birth don’t need strong pain relief after the birth. If you plan to breastfeed, check with your doctor or midwife that any pain relief medication you’re using is safe for baby too.

The amount of pain felt during labor and delivery is different for every woman. The level of pain depends on many factors, including the size and position of the baby, the woman's level of comfort with the process, and the strength of her contractions.

There are two general ways to relieve pain during labor and delivery: using medications and using "natural" methods (no medications). Some women choose one way or another, while other women rely on a combination of the two.

A woman should discuss the many aspects of labor with her health care provider well before labor begins to ensure that she understands all of the options, risks, and benefits of pain relief during labor and delivery before making a decision. It might also be helpful to put all the decisions in writing to clarify things for all those who might be involved with delivering the baby.

Citations

Open Citations

  1. American College of Obstetricians and Gynecologists. (2014). FAQ: Medications for pain relief during labor and delivery. Retrieved February 13, 2017, from http://www.acog.org/Patients/FAQs/Medications-for-Pain-Relief-During-Labor-and-Delivery
  2. American College of Nurse-Midwives. (2013). Nitrous oxide for pain relief in labor. Retrieved February 13, 2017, from http://www.midwife.org/acnm/files/ccLibraryFiles/Filename/000000003905/
    Nitrous_oxide_for_pain_relief_pregnancy.pdf (PDF 125 KB)
  3. Schrock, S. D., & Harraway-Smith, C. (2012). Labor analgesia. American Family Physician, 85(5), 447–454. Retrieved February 23, 2017, from http://www.aafp.org/afp/2012/0301/p447.html
  4. Leeman, L., Fontaine, P., King, V., Klein, M. C., & Ratcliffe, S. (2003). The nature and management of labor pain: Part I. Nonpharmacologic pain relief. American Family Physician, 68(6), 1109–1113.
  5. Tournaire, M., & Theau-Yonneau, A. (2007). Complementary and alternative approaches to pain relief during labor. Evidence-Based Complementary and Alternative Medicine, 4(4), 409–417.
  6. Makvandi, S., Roudsari, R. L., Sadeghi, R., & Karimi, L. (2015). Effect of birth ball on labor pain relief: A systematic review and meta-analysis. Journal of Obstetrics and Gynecology Research, 41(11), 1679–1686
  7. American College of Obstetricians and Gynecologists. (2017). Approaches to limit intervention during labor and birth. Committee Opinion No. 687. Obstetrics and Gynecology, 129, e20–e28. Retrieved March 20, 2017, from http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Approaches-to-Limit-Intervention-During-Labor-and-Birth
  8. Hodnett, E. D., Gates, S., Hofmeyr, G., & Sakala, C. (2013). Continuous support for women during childbirth. Retrieved March 20, 2017, from https://www.cochrane.org/CD003766/PREG_continuous-support-women-during-childbirth

Non medicated pain relief during labor
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What is the most common pain relief during birth?

An epidural block (sometimes referred to as “an epidural”) is the most common type of pain relief used for childbirth in the United States. In an epidural block, medication is given through a tube placed in the lower back.

What pain relief techniques will help during labor?

Medicine-free ways to handle pain during labor include:.
hypnosis..
meditation..
walking..
massage or counterpressure..
changing position..
taking a bath or shower..
listening to music..

Can you give birth with no pain relief?

An ob-gyn discusses birth classes, pain relief techniques, and trusting your health care team. As an ob-gyn, I often talk with patients who want to experience labor and delivery without pain medication. This is a reasonable choice for many pregnancies, and it helps to prepare from the beginning.

Which of the following is a method to reduce pain during delivery without using medication?

Deep breathing can keep both the mother and her baby well-oxygenated and provide a distraction from her labor pain. Deep breathing can reduce anxiety and pain perception, as well as decrease heart rate. In addition, breathing techniques during labor can help decrease nausea during labor.