There are various methods to alleviate pain and discomfort during labour, catering to individual preferences and needs. These options span from approaches like relaxation in water, walking, and using TENS machines, to more advanced techniques like Entonox (gas and air), pethidine, and epidurals. You'll receive a separate informational leaflet detailing these pain relief options.
It's essential to recognise that every woman's experience is unique, and what works effectively for one may not necessarily suit another. Therefore, maintaining an open mindset is crucial. If one method of pain relief doesn't provide the desired comfort, don't hesitate to explore other alternatives.
We encourage you to engage in discussions about the various pain relief options with your midwife, doctor, or an anaesthetist.
Entonox
Entonox, frequently referred to as 'gas and air,' is a pain relief method for women during labour. It consists of a mixture of nitrous oxide gas and oxygen, which is inhaled and exhaled through a mouthpiece. This method is typically employed during established labour to alleviate pain experienced during contractions.
Your midwife will offer precise guidance on the appropriate use of the equipment, which may involve exhaling through a rebreather mask or out through the mouthpiece, ensuring you receive the maximum benefit from this pain relief option.
Pethidine and meptid
Both Pethidine and Meptid are pain-relieving medications administered via injection into the thigh or buttock. It typically takes approximately 20 minutes for these drugs to take effect, providing relief from pain. The pain-relieving effects generally endure for a period of 2 to 4 hours.
Epidural
An epidural is a form of local anaesthetic designed to numb the nerves responsible for transmitting pain signals from the birth canal to the brain. For the majority of women who receive an epidural, approximately seven out of eight, it provides complete pain relief. This can be particularly beneficial for women enduring a prolonged or highly painful labour or those experiencing distress.
The procedure involves the insertion of an intravenous drip into your arm, followed by the placement of a small plastic tube through a needle into your back. Once the tube is properly positioned, the needle is removed, granting you the ability to move around. A pump can be activated to administer a "top-up" of medication if the pain level intensifies, and a midwife will continually monitor your baby's heartbeat and your blood pressure to ensure both you and your baby's well-being.
More information on Epidurals - NHS