Pharmacological Interventions In Labour Presentation
PHARMACOLOGICAL
INTERVENTIONS
IN LABOUR
(Retrieved from: www.wix.com
Presented by:
Marlene Mitanis
Candice Herse
Precious Zvomuya
WHAT IS A
PHARMACOLOGICAL
INTERVENTION?
Pharmacology is defined as:
“a broad discipline describing the use of chemicals to treat and cure disease”
(Kenakin, 2006, p. 1)
Intervention is defined as:
“action taken to improve a medical disorder”
(Miettinen, 2014, p. 95)
or
“the act…of interfering as to modify. Specifically any measure whose purpose is to improve health or alter the course of a disease” (Miettinen, 2014, p. 95)
Laurel has now been in labour for approximately
11 hours. Her contractions are 4/10, strong and last for 60-90 seconds. She is beginning to show signs of fatigue but remains active and mobile during contractions.
She requests a vaginal exam to determine her progress, and although it is not medically indicated, you agree so that it might 'put her mind at ease '. Upon assessment you determine that laurel is 7cm dilated, and 80% effaced. Despite the fact that she is making great progress Laurel is visibly disheartened by the news and asks about the pharmacological pain relief options available to her.
WHAT ARE LAURELS
OPTIONS AT THIS STAGE?
(Retrieved from: http://www.huffingtonpost.co.uk/2013/01/22/cancer-non-hodgkin-lymphoma-patient-speed_n_2526486.html)
TYPES OF
PHARMACOLOGICAL PAIN
RELIEF
Inhalation Analgesia (Nitrous Oxide)
Opioids (Pethidine/Morphine)
Local Anesthetics
Regional Anesthetics (Epidural/Spinal)
INHALATION ANALGESIA
NITROUS OXIDE (N 2 O)
Nitrous Oxide is commonly known as “laughing gas” or “gas and air”
It is a mixture of 50% Nitrous Oxide and 50% Oxygen
Acts as a relaxant when breathed in via a face mask or mouthpiece
(Retrieved from: http://www.cuh.org.uk/rosie-links-leaflets/pain-relief-labour)
Fast acting and helps with the management of pain
25-30% of Australian women use Nitrous Oxide in labour
(Li, Zeki, Hilder, & Sullvian, 2011; McConachie, 2012,
INHALATION
INTERVENTIONS
IN LABOUR
(Retrieved from: www.wix.com
Presented by:
Marlene Mitanis
Candice Herse
Precious Zvomuya
WHAT IS A
PHARMACOLOGICAL
INTERVENTION?
Pharmacology is defined as:
“a broad discipline describing the use of chemicals to treat and cure disease”
(Kenakin, 2006, p. 1)
Intervention is defined as:
“action taken to improve a medical disorder”
(Miettinen, 2014, p. 95)
or
“the act…of interfering as to modify. Specifically any measure whose purpose is to improve health or alter the course of a disease” (Miettinen, 2014, p. 95)
Laurel has now been in labour for approximately
11 hours. Her contractions are 4/10, strong and last for 60-90 seconds. She is beginning to show signs of fatigue but remains active and mobile during contractions.
She requests a vaginal exam to determine her progress, and although it is not medically indicated, you agree so that it might 'put her mind at ease '. Upon assessment you determine that laurel is 7cm dilated, and 80% effaced. Despite the fact that she is making great progress Laurel is visibly disheartened by the news and asks about the pharmacological pain relief options available to her.
WHAT ARE LAURELS
OPTIONS AT THIS STAGE?
(Retrieved from: http://www.huffingtonpost.co.uk/2013/01/22/cancer-non-hodgkin-lymphoma-patient-speed_n_2526486.html)
TYPES OF
PHARMACOLOGICAL PAIN
RELIEF
Inhalation Analgesia (Nitrous Oxide)
Opioids (Pethidine/Morphine)
Local Anesthetics
Regional Anesthetics (Epidural/Spinal)
INHALATION ANALGESIA
NITROUS OXIDE (N 2 O)
Nitrous Oxide is commonly known as “laughing gas” or “gas and air”
It is a mixture of 50% Nitrous Oxide and 50% Oxygen
Acts as a relaxant when breathed in via a face mask or mouthpiece
(Retrieved from: http://www.cuh.org.uk/rosie-links-leaflets/pain-relief-labour)
Fast acting and helps with the management of pain
25-30% of Australian women use Nitrous Oxide in labour
(Li, Zeki, Hilder, & Sullvian, 2011; McConachie, 2012,
INHALATION
References: MIMS. (2015). Marcain Injection. Retrieved from https://www.mimsonline.com.au/Search/Search.aspx Morphine. (2012). In MIMS. Retrieved from https://www-mimsonline-comau.ezproxy1.acu.edu.au/Search/AbbrPI.aspx?ModuleName=Product%20Info&searchKeyword=morphine&Previou sPage=~/Search/QuickSearch.aspx&SearchType=&ID=3790001_2 National Safety and Quality Health Service Standard 6. (2013). Clinical Handover. Retrieved from: https://nw.cascom.com.au/cascom/files/provider/15Clinical_Handover_NSQHS_6_ Satyanarayana Rao, K. (2008). Informed Consent: An Ethical Obligation or Legal Compulsion? Journal of Cutaneous and White, B. (1989). Ethical issues surrounding informed consent: part iii. The crucial role of nursing in insuring valid consent Yentis, S., & Malhotra, S. (2013). Analgesia, anaesthesia and pregnancy: a practical York, USA: Cambridge University Press.