Sunday, March 11, 2012

Labor Comfort Measures

I stumbled across this wonderful article via Childbirthconnection.org

Quick, easy read, simple instructions. Love it. What helped you during labor?

What are examples of comfort measures used for labor pain relief, and do you have pictures?

Comfort measures for labor pain relief vary, and include many options. Pictures of some labor pain relief comfort measures are provided below:

Create a Calm Environment

Dim lights, peaceful surroundings, privacy, warmth.

Increase Physical Comfort

Walking, slow dancing with partner, pelvic rocking, positioning pillows for comfort, sitting and swaying on birth ball (a large physiotherapy ball), lifting up the abdomen, rocking in a rocking chair.

walking
Walking

during labor
click to enlarge

labor walking doula
Walking with a doula
during labor
click to enlarge

labor slow dancing
Slow dancing
during labor
click to enlarge

labor rocking birth ball
Sitting and swaying on birth ball
during labor
click to enlarge

labor kneeling birth ball
Kneeling on birth ball
during labor
click to enlarge
labor standing birth ball
Standing on birth ball
during labor
click to enlarge
labor pelvic tilt
labor pelvic tilt b
Pelvic tilt
during labor
click to enlarge
labor stair climbing
Stair climbing
during labor
click to enlarge

labor rocking chair
Rocking in a rocking chair
during labor
click to enlarge



Use Touch

Massage, stroking, cuddling, counter pressure against the lower back, acupressure.


Leaning back
for massage
during labor
click to enlarge

labor counter pressure
Counter pressure
against lower back
during labor
click to enlarge

labor knee press sitting
Knee press
woman sitting
during labor
click to enlarge

labor knee press side-lying
Knee press

woman side-lying
during labor
click to enlarge



Apply Heat (with or without water)

Deep tub bath, shower, heating pad on groin or back, heated blanket.

labor deep tub bath
Hydtrotheropy Birth Pool
during labor
click to enlarge

labor shower
Sitting on Chair in Shower
during labor
click to enlarge

labor shower hydrotheropy monitor
Hydrotheropy Shower

with Telemetry Monitor
during labor
click to enlarge


Apply Cold

Ice pack on lower back, cool cloth to wipe face.

labor strap-on cold pack
Strap-on Cold Pack
during labor
click to enlarge

labor rolling cold soda can
Rolling a Cold Soda Can
during labor
click to enlarge



Use Aromatherapy

"Essential" oils, scented objects.

What are the effects of comfort measures on labor pain?

As the name suggests, comfort measures increase comfort. They may ease labor pain directly or indirectly by soothing and relaxing you.

What is needed to use comfort measures?

Comfort measures may require nothing more than adjusting the lighting or a pair of willing hands to rub your back. They may also be as elaborate as a temperature-controlled tub big enough to move around in and deep enough to immerse you to your shoulders when seated. Many items are inexpensive and can easily be brought with you such as massage oil, massage tools, or frozen gel packs. Others can be improvised on site such as making a cold pack by putting ice chips in an exam glove and tying it off.

One of the major advantages in hiring a doula to provide labor support is that she knows many comfort measures. Most doulas bring comfort-related items with them to the birth.

What are the advantages of comfort measures?

Comfort measures:
  • offer lots of possibilities for relieving labor pain and can be combined with each other and with other types of techniques to suit every need
  • have short or no lag time between deciding to use one and doing so (with the possible exception of deep tub baths)
  • do not interfere with labor progress and in some cases can enhance progress or the effectiveness of pushing
  • promote a sense of accomplishment and capability, which can be more critical to a satisfying childbirth experience than pain relief in and of itself
  • have no effect on your state of consciousness
  • may enable you to avoid labor pain medications and their possible adverse effects
  • may enable you to delay or limit the use of medications and limit adverse effects
  • unlike pain medications, can be discontinued immediately if they don't help or in the unlikely event that they cause a problem.

What are the drawbacks of comfort measures?

Comfort measures:
  • comfort measures may not provide adequate labor pain relief
  • comfort measures may require equipment
  • deep tub baths may slow labor if taken too early in labor
  • deep tub baths may cause maternal fever if the water temperature exceeds body temperature.

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