Pregnancy

Pros and cons of 6 pain relief options available when giving birth

When it comes to giving birth, most people have only heard of epidurals when it comes to pain relief in labour. However, there are actually many options for pain relief available.

We’ve got some information on the facts and the risks associated with all pain relief options for birth.

Pregnant woman in hospital

Natural non-medical pain relief choices

  • Having a good support person- your partner, mother, friend, Doula – having emotional support can be a big help
  • Physical touch/Massage
  • Bath
  • Birth pool*
  • Shower
  • Music (load your iPod with a mix of calming and distracting songs)
  • Aromatherapy
  • Hypno birth/ Calm birth
  • Heat packs
  • Acupuncture
  • Being active, upright, walking, different positions
  • Massage using a tennis ball
  • Birth ball (same as an exercise ball)

Medical pain relief choices

1. TENS Machine

A tens machine is a small, battery operated device which is worn on the body. The box is attached to the body via wires with sticky pads on the ends, which are attached to the skin. Electrical pulses are transmitted to the body like little electrical shocks which help to ease pain in certain areas of the body.

Pros

  • Self administered
  • No side effects to mum or baby
  • Easy to use with physio instruction
  • Drug free

Cons

  • Cost
  • Need to be taught how to use
  • Can’t use in the bath/shower/pool

2. Nitrous Oxide (Gas)

Pros

  • Don’t need a doctor’s order to start
  • Excellent for breathing and relaxation
  • Can be used in the bath/shower/pool
  • Portable
  • Harmless for baby (quickly leaves your body)
  • Can be used at any time in the labour

Cons

  • Can take a few contractions to work and to get into a regular rhythm of breathing
  • Can cause dizziness, dry mouth and vomiting
  • Tastes yuck

3. Morphine/ pethidine

(Depends on your hospital to which one they use)

Pros

  • Lasts for 4 hours
  • Relieves pain by taking the edge off
  • Given quickly
  • Takes 20-30 min to work

Cons

  • Can cause nausea and vomiting
  • Can make you sleepy
  • Can cause respiratory problems in baby if given close to the birth
  • 2 doses can affect baby’s sucking reflex when born
  • It’s given via a needle so if you hate needles you might not like this.

childbirth pain relief

4. Epidural

Analgesia that is administered via a catheter inserted into the epidural space.

Pros

  • Takes away most of the pain (depending on the strength you can feel the pressure associated with birth)
  • Some hospitals offer a patient controlled option where you press a button and administer your own dose.
  • Allows you to sleep if you are tired and have laboured for a long time.
  • If you have high blood pressure it can lower your blood pressure.
  • Can be topped up if you require a caesarean
  • Usually only needs a single injection after a local anaesthetic to numb the insertion site (which is on your lower back)

Cons

  • 1:20 don’t work or work patchy
  • Requires a needle into the epidural space through your lower back
  • You have to wait for an anaethetist to put it in.
  • Takes a while to set up.
  • You are confined to a bed.
  • You will have constant monitoring – Blood Pressure (BP), Cardiotocograph (CTG),
  • Indwelling catheter.
  • IV therapy.
  • Can cause a nasty headache.
  • May need a synthetic hormone to continue labour as it can stop or slow labour.
  • 1:350,000 are at risk of serious complications e.g. Nerve damage

5. Remifentanyl*

Is an analgesic administered directly into a vein via patient controlled anaesthetic system (PCAS).

Pros

  • Patient controlled
  • Can be used at any part of the labour
  • Still have the pushing sensation in 2nd stage
  • Can still move around
  • Leaves your body quickly so minimal harm to the baby
  • Very effective

Cons

  • Not offered in all hospitals
  • Takes a little while to set up
  • Need a doctor’s order (Dr does not have to be present to set up)
  • Will need monitoring
  • IV therapy
  • Oxygen therapy
  • Does pass to the baby but has a short life in the body

6. Water injections*

The use of small amounts of sterile water inserted into the lower back under the skin. It is effective in 90% of women experiencing backpain in labour.

Pros

  • Don’t need a doctor’s order to start
  • Nurse initiated
  • Can be repeated
  • Very effective on posterior labours
  • Drug free
  • Lasts 1-3 hours

Cons

  • Not offered in all hospitals
  • They sting for about 30 seconds
  • Need 4 small needles in the skin above your bottom (sometimes administered by 2 midwives)

* Not offered at all hospitals

We advise that you discuss all your options with your obstetrician, midwife or GP before making any decisions.  If you feel strongly about any particular pain relief then make sure you have mentioned it in your birth plan.

Click here to find out more about the different stages of labour.

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