Table of Contents
REQUIREMENTS #
- Conducive environment
- Companion of choice
- Pain assessment chart
- Prescribed medication
STEPS #
- Establish rapport (refer to steps)
- Sit near client’s bed and engage her in conversation in a calm manner
- Involve companion in the management
- Assess the degree of pain, location, quality intensity, duration and factors that decrease or increase the pain (with a pain assessment chart)
- Ensure a conducive environment to enhance rest (open windows) and relaxation
- Introduce the available methods of relieving pain to client and companion
- Assist client make an informed decision on available methods of pain relief
- Educate and encourage client to adapt to preferred positions in bed
- Encourage the companion to give sacral massage with every contraction
- Encourage companion to engage client in conversation of her interest
- Introduce client to deep breathing exercises during contractions intermittently
- Ask client her preferred music and play as such
- Encourage client to take in cool nourishing fluids if tolerated
- Assess maternal and foetal condition according to the Labour Chart Guide
- Assess the degree of dilatation
- Administer prescribed medications when all non-pharmacological methods fail
- Monitor client and foetus to rule out any abnormalities
- Call Obstetrician in-charge if all measures fail and client is in intense pain
- Record all strategies and management in the Maternal and Child Health Record Book