Kathy Fray is an award-winning best-selling parenting author, passionate promoter of mothers-to-be accessing empowering maternity education, holistically-minded Midwife, and thought-leader of Integrative Maternity Healthcare information.
Hi everybody. Kathy Fray here from MotherWise and welcome to another little live mini webinar and today I'm gonna talk to you about pharmaceutical pain relief for when you are in labor in and giving birth. So that is quite typically with a first pregnancy particularly, it's
like one of the things that women seem to want to know pretty quick smart on what those options are, and as I say this is just going to be a little mini overview today. And I do do my longer full-length deep-dive webinar with my inner circle MotherWise Masterclass group and you're most welcome to join us at any stage with there and I'll put the link on at the bottom of this. So I certainly have had women come into my clinic and say you know the first thing
practically out of their mouth is right just that you know I'll be wanting an epidural and then you know seven months later or there about they quite often have changed their mind and they've given birth and the most incredibly beautiful empowering natural birth so but you know absolutely pharmaceutical analgesia does have its places so I just want to go over the the main ones for you there so basically depending on where you are in the world
so the main things of choice are nitrous oxide gas or what they call gasania or internox, it's all the same thing and then we have opioids like P 13 and morphine and some other slightly stronger worse and then we also have of course the epidural okay and that's pretty much it and really from a pharmaceutical point of view considering how you know I don't know how far along we are in sick medical science we really haven't done a lot for labor to be honest you know in yes we will use epidurals but you know they used commonly for lots of different kinds of surgeries and things so you know it's not like they were just designed for childbirth so there is nothing that's just been designed for childbirth so just that's sort of something to bear in mind everything's being adapted really okay so firstly guessing in or nitrous oxide so dudes laughing yes in a paint occasionally you isn't Midwife you do see some woman who get it but giggly on it but it's kind of rare to be honest and in nitrous oxide really just takes
off a little tiny bit of the labor but sometimes that's all you need just that little tiny taking the edge off ER and it's all you need and when it's administered correctly it can be you know it Kym provides some good assistance but the thing with nitrous oxide is it takes almost a minute for it to build up in your system so the key is getting the timing right and as soon as
you know a contractions coming on you need to suck on that mouthpiece is hard and long as strong as you can until you sort of have done it for a good minute and you've got to the peak of that period and then you can really take it out of your mouth it's not going to do a lot more and it's a and one of the most useful things I think with nitrous as a feed that it's got a mouthpiece and you can kind of break down on it and and that feels good and then you've got your opioids which as I say it in various different countries use different opioids but when you go to an antenatal class and they say to you you shouldn't be using drugs during your labor because that's bad for the baby this is the one they're talking about particularly because all opioids are a respiratory depressant so we don't tend to use that if it looks like that baby could be born within the a couple of hours or so and again even then there's different policies on it it really has its place for in a situation stay where a woman is had two or three nights of a labor induction and man what she just needs is some sleep and if she can just sleep through those latent contractions she'll wake up probably establish and a good strong labor or sometimes if you have a woman who arrives everything sweetened she's really kind of stressed and anxious and losing the plot really and actually once you do an internal she's only three centimeters and she's got a long way to go so that's kind of the times when those when when Peter Dean or morphine or the diamorphine is what's used in England and that's actually heroin so yeah that's when the opioids are sort of had their place and of course the
other one is epidurals but actually I
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