shared decision making: during labor & delivery
Pain relief
Pain relief options
Pain during childbirth is different for every woman and for every birth. There is no right or wrong way to handle pain, and you can choose from a range of medical and non-medical options for pain management.
Medical methods for pain management include:
- Epidural block: An epidural block provides continuous pain relief in the lower half of your body during labor and delivery. If you decide to get an epidural, your care team will insert a small, thin tube, called a catheter, into the lower region of your spine to deliver the medicine. Epidurals are commonly used and considered extremely safe. They will not harm your baby, slow down labor, cause a C-section or interfere with breastfeeding.
- Spinal block: A spinal block provides pain relief for up to two hours and is usually used shortly before delivery. You care team will inject the medicine below the spinal column directly into the spinal fluid. You will remain awake and alert. One risk is that it can temporarily lower your blood pressure which may slow the baby’s heart rate for a short time.
- Pudendal block: A pudendal block provides pain relief between the vagina and the anus and is usually used right before the baby is delivered.
- Inhalation analgesia, such as nitrous oxide: An inhalation analgesia is a sedative that helps you relax and can be used during labor. This type of medicine is breathed in through your mouth and nose. It does not target a certain area of your body and allows you to be mobile. Some side effects include nausea, dizziness and feeling tired.
- Opioids: Opioids are medicine used for general pain relief. Some side effects for the mother can include limited pain relief, nausea, vomiting, or feeling really tired. Some side effects for the baby can include low heart rate, difficulty breathing, and it can take longer for the baby’s body to break down the medicine
Not all hospitals have all of these methods so make sure to talk to your care team to find out what is available.
Non-medical methods for pain relief:
Massage
Taking a warm bath or shower
Using a heating pad
Listening to music
Changing your position
Your support people can also play an important role. A support person can be a doula, your spouse, a family member, or close friend. They can help manage your pain by helping you feel more comfortable and providing emotional support.
