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  • Volume 1: for Childbirth Parent Handout - InJoy …...for Childbirth Parent Handout Pain Management 800.326.2082 x2 InJoyVideos.com ©2011 InJoy Productions, Inc. Permission to copy
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©2011 InJoy Productions, Inc. Permission to copy granted. Volume 1: Comfort Techniques Labor Environment • Adjust the lighting • Use aromatherapy (look online for more information) • Play music or soothing ambient sounds Relaxation • Listen to a recorded exercise on meditation CDs or podcasts • Have your labor partner read a scripted exercise (look online for examples you can print out) • Have your partner use touch as a cue for you to relax • Turn off distractions Vocalization • Moan or make low, guttural sounds • Avoid shrieking or making high-pitched sounds Attention-Focusing • Repeat a word or positive phrase (such as “open” or your baby’s name) • Use focal points like an ultrasound photo or another item from home • Have your labor partner lead you in a visualization exercise that describes your favorite vacation spot or other comfortable place Physical Comfort • Drink clear fluids and nourish yourself (ask your hospital about their policy on eating and drinking during labor) • Rest whenever you can Breathing • Take deep, cleansing breaths (when you breathe deeply your abdomen should move in and out, not your chest) • Try breathing quicker or adding a pattern as labor intensifies • Breathe in a way that feels right to you Positions and Movement • Try sitting, standing, squatting, getting on your hands and knees, leaning forward, and side-lying • Use movement, such as rocking your pelvis or slow dancing with your partner • Walk the halls or climb the stairs • Use labor tools, such as a fitness ball, squat bar, or birthing stool, to help you get into different positions Massage and Touch • Have your labor partner massage your shoulders, legs, back, or wherever it feels good to you • Try a light circular massage on your belly with your hands or a shower spray • Have your labor partner apply constant pressure on your lower back during contractions with their hands or a tennis ball • Have your labor partner try a double hip squeeze (with hands placed low on your hips, they will press in and up firmly during contractions) • Apply warm or cold water bottles, wash cloths, heating pads or gel packs to sore areas (Caution: make sure not to get the tools too cold or too hot, and never use them directly on your skin) Hydrotherapy • Get in the bathtub and let the warm water soothe you; turn on the jets if available, which can give you a massage • Take a shower to refresh yourself, and use the shower head to spray water on your belly or back for a warm massage Pushing • Use a variety of upright positions (squatting, hands-and- knees, semi-sitting, side-lying) • Try exhaling as you push and avoid holding your breath for extended periods • Ask your healthcare provider to use massage or a warm compress on your perineum as it stretches during birth The following is a list of comfort techniques that you can use to help manage labor pain. Parent Handout for Childbirth Pain Management 800.326.2082 x2 InJoyVideos.com

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Page 1: Volume 1: for Childbirth Parent Handout - InJoy …...for Childbirth Parent Handout Pain Management 800.326.2082 x2 InJoyVideos.com ©2011 InJoy Productions, Inc. Permission to copy

©2011 InJoy Productions, Inc. Permission to copy granted.

Volume 1: Comfort Techniques

Labor Environment• Adjustthelighting

• Usearomatherapy(lookonlineformoreinformation)

• Playmusicorsoothingambientsounds

Relaxation • ListentoarecordedexerciseonmeditationCDsor

podcasts

• Haveyourlaborpartnerreadascriptedexercise(lookonlineforexamplesyoucanprintout)

• Haveyourpartnerusetouchasacueforyoutorelax

• Turnoffdistractions

Vocalization • Moanormakelow,gutturalsounds

• Avoidshriekingormakinghigh-pitchedsounds

Attention-Focusing• Repeatawordorpositivephrase(suchas“open”or

yourbaby’sname)

• Usefocalpointslikeanultrasoundphotooranotheritemfromhome

• Haveyourlaborpartnerleadyouinavisualizationexercisethatdescribesyourfavoritevacationspotorothercomfortableplace

Physical Comfort• Drinkclearfluidsandnourishyourself(askyourhospital

abouttheirpolicyoneatinganddrinkingduringlabor)

• Restwheneveryoucan

Breathing• Takedeep,cleansingbreaths(whenyoubreathedeeply

yourabdomenshouldmoveinandout,notyourchest)

• Trybreathingquickeroraddingapatternaslaborintensifies

• Breatheinawaythatfeelsrighttoyou

Positions and Movement• Trysitting,standing,squatting,gettingonyourhands

andknees,leaningforward,andside-lying

• Usemovement,suchasrockingyourpelvisorslowdancingwithyourpartner

• Walkthehallsorclimbthestairs

• Uselabortools,suchasafitnessball,squatbar,orbirthingstool,tohelpyougetintodifferentpositions

Massage and Touch• Haveyourlaborpartnermassageyourshoulders,legs,

back,orwhereveritfeelsgoodtoyou

• Tryalightcircularmassageonyourbellywithyourhandsorashowerspray

• Haveyourlaborpartnerapplyconstantpressureonyourlowerbackduringcontractionswiththeirhandsoratennisball

• Haveyourlaborpartnertryadoublehipsqueeze(withhandsplacedlowonyourhips,theywillpressinandupfirmlyduringcontractions)

• Applywarmorcoldwaterbottles,washcloths,heatingpadsorgelpackstosoreareas(Caution:makesurenottogetthetoolstoocoldortoohot,andneverusethemdirectlyonyourskin)

Hydrotherapy • Getinthebathtubandletthewarmwatersoothe

you;turnonthejetsifavailable,whichcangiveyouamassage

• Takeashowertorefreshyourself,andusetheshowerheadtospraywateronyourbellyorbackforawarmmassage

Pushing• Useavarietyofuprightpositions(squatting,hands-and-

knees,semi-sitting,side-lying)

• Tryexhalingasyoupushandavoidholdingyourbreathforextendedperiods

• Askyourhealthcareprovidertousemassageorawarmcompressonyourperineumasitstretchesduringbirth

Thefollowingisalistofcomforttechniquesthatyoucanusetohelpmanagelaborpain.

ParentHandoutfor ChildbirthPain Management

800.326.2082 x2 InJoyVideos.com

Page 2: Volume 1: for Childbirth Parent Handout - InJoy …...for Childbirth Parent Handout Pain Management 800.326.2082 x2 InJoyVideos.com ©2011 InJoy Productions, Inc. Permission to copy

©2011 InJoy Productions, Inc. Permission to copy granted.

Volume 1: Comfort Techniques

ParentHandout(continued)

800.326.2082 x2 InJoyVideos.com

• Holidaylights(checkwithyourhospitalfirstbeforepluggingthingsin)

• LEDcandles

• Aromatherapydiffuserandoils

• DigitalmusicplayerandspeakerswithlaborplaylistorCDs

• Focalpoints(babyoutfit,photo,orsentimentalitemfromhome)

• Relaxationscripts

• MeditationCDsorpodcasts

• Gelpacks(canprovideheatorcold)

• Waterbottles(canbefrozenorfilledwithwarmwater)

• Heatingpad(askbeforeusinginthehospital)

• Hand-heldmassagetools

• Tennisballs

• Fitnessball(seeifyourhospitalprovides)

• Squatbar (seeifyourhospitalprovides)

• Birthstool(seeifyourhospitalprovides)

Bag of Tricks for Labor PartnersUsethefollowingtoolstohelpmom.

Aromatherapy diffuser and oils

Relaxation script

Fitness ball

Squat bar

Page 3: Volume 1: for Childbirth Parent Handout - InJoy …...for Childbirth Parent Handout Pain Management 800.326.2082 x2 InJoyVideos.com ©2011 InJoy Productions, Inc. Permission to copy

©2011 InJoy Productions, Inc. Permission to copy granted.

Volume 2: Analgesics and Epidurals

Thiscomparativetableshowsthebenefitsandrisksofusingmedicatedpainrelief.Learnhowthesemedicationscaninfluenceyourlaborandhowtohandlepotentialsideeffects.

ANALGESICS EPIDURALS

DEFINITIONNarcoticmedicationthattakestheedgeoffofthepain,butdoesnotremoveitcompletely

Regionalanestheticthatremovessensationintheabdomen,lowerback,andpelvicarea

ADMINISTRATIONLabornurseinjectsadoseofmedicationinto

anIVormuscle

Ananesthesiologistornurseanesthetistplacesanepiduralcatheterinyourlowerback,below

thespinalcord.Amixtureofanestheticsandnarcoticswillflowtotheareathroughthecathetereitherbyperiodicinjectionsor

continuousinfusion.

BENEFITS

Canbegivenrightaway(youdon’thavetowaitforadoctortoadministerthem)

Veryeffectivepainrelief

WorksimmediatelytodullpainsensationYouareabletoremainawakeandalertsince

themedicinedoesnotaffectyourbrain

Medicinedoesn’tnumbyourmuscles,allowingyoutomovearoundafteritwearsoff

Thereislittletonoeffectonthebaby

Analgesicsmayprovideenoughrelaxationforyoutosleepbetweencontractions

RISKS TO MOM

Sincethemedicineaffectsthebrain,itcancausedisorientation,dizziness,ordrowsiness

Ifthemedicinedoesn’tdisperseevenly,youmaystillhaveareasofpain,requiringanadjustmentofthecatheterorachangeinyourpositiontocorrect

Yourbloodpressuremaydrop(thiscouldcausethebaby’sheartratetodrop)

Yourbloodpressuremaydrop(thiscouldcausethebaby’sheartratetodrop)

Maycausenauseaand/oritchingasaresultofyourbody’sreactiontothenarcotic

Combinationsofepiduralmedicationsusenarcoticsthatcancausenauseaand/or

itchiness

Canslowyourbreathingdown,requiringextraoxygenfromanoxygenmask

Asthemedicationrunsthroughyoursystem,youmightgetchillsorshivering

Increasesyourriskoffever,whichcouldrequireyourbabytohavespecialproceduresafterbirth

Youmightexperiencesorenessorbruisingattheadministrationsiteafterthecatheteris

removed

Otherrare,butveryseriousrisksarelistedontheconsentform,soreaditovercarefullyand

askquestions

(Table continues on next page)

800.326.2082 x2 InJoyVideos.com

ParentHandoutfor ChildbirthPain Management

Page 4: Volume 1: for Childbirth Parent Handout - InJoy …...for Childbirth Parent Handout Pain Management 800.326.2082 x2 InJoyVideos.com ©2011 InJoy Productions, Inc. Permission to copy

©2011 InJoy Productions, Inc. Permission to copy granted.

800.326.2082 x2 InJoyVideos.com

ANALGESICS EPIDURALS

RISKS TO BABY

CouldbesleepyandlessalertrightafterbirthCurrentresearchdoesnotindicateany

significantrisktothebaby

Mayhavedifficultybreastfeedingbecauseofthesleepystate

Couldhaveslowedbreathingandreflexesafterbirth,whichmightrequiremedicationtotreat

EFFECT ON LABOR

Yourmobilitymightberestrictedwhilethemedicationisineffectbecauseofthe

disorientation/dizzinessyoumightfeelandtheextramonitoringrequired

Youwillneedtostayinbedsinceyourmusclesarenumb

Painoftenfeelsmoreintenseafterthedrugwearsoffsinceyourbodystopsproducing

endorphinstohelpmanagepain

Epiduralsmayaffectlaborprogress,causingittoslowdownorspeedup,dependingonyour

situation

Analgesicsmaynotprovideenoughpainreliefandadditionaldosesmightlosetheir

effectiveness

Youwillneedaurinarycathetersinceyouwon’tbeabletogetuptousethebathroom

Youwillneedcontinualfetalheartmonitoring,abloodpressurecuff,pulseoximeteronyour

finger,andIVfluids

Youmaynotfeeltheurgetopush,requiringextrahelpfromthestaffonwhenandhowto

pusheffectively

TIPS

Avoidgettingananalgesic1-3hourspriortobirthtoreducetheeffectsonthenewborn

Waittogetanepiduraluntilyouareinawell-establishedlaborpattern,whichmightlowerthe

riskofyourlaborslowingdown

Continuetousebreathingorotherrelaxationtechniquesatthepeakofcontractions

Afteryougettheepidural,periodicallychangefromlyingonyourleftsidetolyingonyourright

sidetoproperlydispersethemedicationandhelpwithfetalpositioning

Ifyoufeeldrowsy,useitasanopportunitytosleeporrest

Getalighterdoseorasktohavethemedicineturneddownwhenyoustartpushingsoyouwill

bebetterabletofeelwhenandhowtopush(thismightreducetheneedforanassistedbirth

withvacuumextractorsand/orforceps)

Haveyourlaborpartnersrestwhenyourest,butstillcontinuetoofferemotionalencouragement

throughoutyourlabor

Makesurelaborpartnersremainclosebyandcontinuetoofferemotionalencouragement

Pushinasemi-sittingorside-lyingposition,orpullonatowelheldbyasupportpersonor

loopedoverasquatbar

Volume 2: Analgesics and Epidurals

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