pain med...

jarrn03 · Jan 2, 2006

I tell my pts "Natural" is coming out the magic door. Doesn't matter how you get there, just as long as it comes out the magic door. Everyone has a choice. C-sections are not natural so we do everything we can to make it happen "natural".

SmilingBluEyes · Jan 2, 2006

I hate labels anyhow. The goal is healthy mom and baby, period.

Selke · Jan 2, 2006

I was just wandering because they gave my sister n law some kind of pain medicine when she was about a 7 and she's saying that she did it natural!! I just think that if you have any kind of pain med that it is not totally natural.

There are as many understandings of "natural birth" as there are women. There are many women who simply think a lady partsl birth is "natural," even with epidural, pitocin, oxygen, vacuum, &c, all the way to the hard core natural birth crowd who think any intervention at all (monitoring, AROM, &C) makes it not natural and give the mother guilt trips for allowing evil OB personnel to do stuff to them (I encountered this attitude in one place I worked).

I think a woman has the right to call her birth natural if she wants to. It's her body, her experience, her birth, after all.

Good outcome (healthy mom and baby) is the ultimate goal -- however you get there. Guilt tripping women into feeling bad because they didn't have a "natural" or unmedicated or complicated birth is not good. Whether or not having an IV pain med is natural or not isn't important, either. Birth hurts like hell and most women don't anticipate in advance how much it will hurt.

Altalorraine · Jan 2, 2006

Guilt tripping women into feeling bad because they didn't have a "natural" or unmedicated or complicated birth is not good.

I think this is another case of people having a strong opinion about what is healthiest/safest/lowest risk (e.g. breastfeeding; unmedicated birth), and people who choose to do otherwise calling it "guilt tripping". No one can "make you" feel guilty; guilty feelings arise from your own doubts about your choices.

Altalorraine

palesarah · Jan 2, 2006

There are as many understandings of "natural birth" as there are women. There are many women who simply think a lady partsl birth is "natural," even with epidural, pitocin, oxygen, vacuum, &c, all the way to the hard core natural birth crowd who think any intervention at all (monitoring, AROM, &C)...

What's "&C" ? I can't figure put what that stands for...

Editorial Team / Admin · Jan 3, 2006

What's "&C" ? I can't figure put what that stands for...

I think it is meant to be ceasarean. Normally the initials are CS, but, could be this anyway, palesarah.

princess_g63 · Nov 17, 2007

I just heard at a seminar about using fentanyl IVP during labor instead of Nubaine or such.. how effective do you find it to be and how slow do you push it??and what are the effects on mom and baby?

mimmy · Nov 17, 2007

We use Talwin 30mg IVP. Works great at relaxing Mom...baby gets sleepy too though. Most Moms at our hospital get an epidural. After having my daughter 22 yrs ago with pit, forceps and no meds- I love to see how comfortable Moms are after an epidural:)

LizzyL&DRN · Nov 17, 2007

I just heard at a seminar about using fentanyl IVP during labor instead of Nubaine or such.. how effective do you find it to be and how slow do you push it??and what are the effects on mom and baby?

We have one doc that orders Fentanyl 100mcg q 30 minutes. All the other docs order it q 1 hour. Q 1 hour is not often enough in my opinion, the mom's are always in as much pain as they started shortly after the 30 minute period. I had a mom yesterday begging me to give her more after 20 minutes. I've never had a problem with respiratory depression in the baby or the mother.

luv l&d · Nov 17, 2007

Ah, nisentil. what a great drug! taken off the market after a couple of older pts died after surgery. We would give it at 3 or 4 cm's and moms would sleep til almost complete. It was before epidurals were common place in the late 70's and ealy 80's. I miss it.

nurseynightnight · Nov 22, 2007

We use fentanyl only. I have heard of stadol being used at my hospital and rarely nubain but for the most part fentanyl 50-100 mcg every 30 minutes.

RNmama05 · Nov 22, 2007

Re Fentanyl. We use it for IV conscious sedation when patients are undergoing D&Cs. Our policy requires that the patient be on continuous ECG monitoring. We start our dose with 50 mcg. Are we being excessively cautious, or is your doctor a wild and crazy guy?

For labor when we expect a live birth we use Stadol. For labor induction for losses we use Demerol and Phenergan IV push (the nurses dilute the phenergan in saline).

We have one doc that orders Fentanyl 100mcg q 30 minutes. All the other docs order it q 1 hour. Q 1 hour is not often enough in my opinion, the mom's are always in as much pain as they started shortly after the 30 minute period. I had a mom yesterday begging me to give her more after 20 minutes. I've never had a problem with respiratory depression in the baby or the mother.