Sterile water papules...

  1. For back pain associated with labor we use sterile water papules to alleviate pain for those patients that dont want to use narcotics, or dont want an epidural. I wanted to know if anyone else uses this technique.

    Also, if you do use it, do you think it works?

    Let me know!

    Thanks!

    Andrew
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  2. 10 Comments

  3. by   fergus51
    We have used it on occasion and it has worked very well, but only for a short period of time. I have never had any problems associated with them, so I would continue to reccomend them to patients.
  4. by   SmilingBluEyes
    Never have used this technique...have read conflicting reports concerning effectiveness being worth the extreme (but short-duration) pain patients report when this papule is injected. I would be interested to learn more....we do SO MANY EPIDURALS in my unit...not sure if this would ever take. But very interesting, nonetheless.
  5. by   HazeK
    would you please explain this technique?
    the rationale? the pathophysiology?
    indicators?
    side effects?
    contraindications?
    etc.

    haze :-)
  6. by   CTRN1
    A few of our midwives use this with their patients. The times I have seen it done, it appears to hurt like hell going in (far worse then the bee sting they warn the pts about) but works great to alleviate back pain almost instantly. They repeat as needed, usually every few hours. I would definately reccomend them to patients.
  7. by   SmilingBluEyes
    there are some pretty good insights on this on the perinatal listserve...if you need the link let me know. this is where i learned most of what i did about it!
  8. by   Andrew_LandD
    Here is some info as well.


    Sterile Water Papules


    Andrew
  9. by   shay
    Have had many patients get them, find they are a 'miracle worker' for pts with posterior presentation. I love that technique.
  10. by   HazeK
    after reviewing some data on this, it sounds very interesting, with minimal rist to the patient!

    can this be done by staff RNs, if ordered/OK'd by MD?
    or, are only midwives doing this??

    How difficult would it be to get your medical staff to "buy into this"???

    thanx

    hhk
  11. by   canoehead
    I use it and it lasts about an hour, but the patients are so relieved and thankful. It took me a couple of times before I got the technique perfect but since then it has worked better than any pain med.
  12. by   SmilingBluEyes
    Yes, RN's who are trained are currently administering this intervention, where it is practiced. Also CNM's and Dr's.

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