The spinal pain relief is normally given at a steady rate, but some women are offered a button to push when they feel they need an extra dose.Seems like a reasonable approach, but I can see some women suffering more than necessary by being unwilling to use as much as necessary to make themselves comfortable.
The study, presented at a US conference, suggested that women using the devices used a less anaesthetic, with fewer forceps deliveries...The study at the Long Beach Memorial Medical Center in California compared the experience of 270 women, two-thirds of whom received a steady infusion of drugs, which the other third was given a hand-held controller so drugs could be delivered when needed....While there were no differences in the duration of labor, those using "patient-controlled epidural analgesia" (PCEA) used approximately 30% less anaesthetic.
Patient satisfaction was roughly the same, although women self-administering drugs did report more pain during the final stage of labor.
Saturday, February 26, 2011
Self Administered Anesthesia
Giving women control over their own epidurals during labor could reduce the need for medical intervention