Pain Relief in Your Facility

[Leggings and Lattes]

I know that women's preferences tend to be regional, so just out of curiosity...about what percentage of your patients use epidurals versus other types of pain relief? How often do you see births where the women choose not to have epidurals, and what alternatives do you see being used?

[jodyangel, RN]

90% epidural a...10% natural. Occasionally stadol or Nubian.

[Elvish, BSN, DNP, RN, NP]

Most people get epidurals, probably somewhere in the 60-70% range. Maybe 10-15% get IV meds - Nubain, Fentanyl - and the rest use nonpharm methods. We tend to have a lot of people show up at 8-9cm and deliver quickly. Seems to happen at least once or twice a shift.

[Sezza83, BSN, RN]

VERY rough estimates at my Hospital down under: epidural ~10%, pethadine IM ~50%, gas & air ~90%

[serenity1]

Probably about 80% or more epidurals or they go all natural. Rarely have anyone wanting IV meds.

[jodyangel, RN]

Hubby says once obamacare is in full force we will see Gas/Air in the USA. Much cheaper than anesthesia.

[Leggings and Lattes]

Lol!! An epidural you say? Oh, I'm sorry, that's not a medical necessity.

My hospital started having stadol shortages, then nubain shortages, and then ropivicain. Everyone was like, see...here it comes!

[itsnowornever, BSN, RN]

Gas/Air? What's that? We use Nubian/phenergan a lot and rarely epidurals

Posting from my phone, ease forgive my fat thumbs! :)

[nocturnalnurse]

a lot of other country's (and maybe in the USA, I'm not sure, but nowhere around here) use inhaled nitrous oxide for pain releif. I believe that is the "gas/air" they refer to. We have about a 60% epidural, 10% IV or IM, and 30% natural (rough estimates). It goes a lot by ethnicity/culture in our area, with our immigrant populations making up most of the "natural" group.[h=3][COLOR=#0044cc][/h]

[Leggings and Lattes]

I know my mom used gas/air when she had me around 30 years ago, but not when my sister came along 10 years later. I'm not sure if the States still use it our not. We use it here in New Zealand, and I know Australia does. Not sure who else uses it.

[Fyreflie]

First hospital I worked at: 90% epi, 10% nothing (we didn't offer IV narcotics or entonox). 4000 deliveries/year.

Second hospital: 60% epi for primes, 40% for multips, the rest IV fentanyl and/or gas, or nothing. 8-900 deliveries a year.

Current hospital: 75-80% epi, the rest any of gas, IV morphine, or IV fentanyl or nothing. 6000 deliveries a year.

[itsnowornever, BSN, RN]

a lot of other country's (and maybe in the USA I'm not sure, but nowhere around here) use inhaled nitrous oxide for pain releif. I believe that is the "gas/air" they refer to. We have about a 60% epidural, 10% IV or IM, and 30% natural (rough estimates). It goes a lot by ethnicity/culture in our area, with our immigrant populations making up most of the "natural" group.[h=3'][/h]

That's what I thought they meant. Like what's used at the dentist?????

Posting from my phone, ease forgive my fat thumbs! :)