Sterile water papules...

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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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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.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

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.

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would you please explain this technique?

the rationale? the pathophysiology?

indicators?

side effects?

contraindications?

etc.

haze :-)

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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.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

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!

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Here is some info as well.

Sterile Water Papules

Andrew

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Have had many patients get them, find they are a 'miracle worker' for pts with posterior presentation. I love that technique.

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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

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Specializes in ER.

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.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

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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