PAIN MANAGEMENT IN LABOUR

Table of Contents

REQUIREMENTS #

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