Baby reflection After reading the informative article, The First Ache, by Annie Murphy Paul a couple of times, I came to conclusion that Paul is bias. To the extent that she and three of the research doctors, Dr. Anand,Mr. Fisk and Dr. Paschall all feel that fetal pain exists. Although Annie Paul does present an article and comments written by Dr. Mark Rosen that “pain perception probably does not function before the third trimester”. Dr Rosen also asserted, that “the fetus’s higher pain pathways are not yet fully developed and functional”. Although Annie Paul tries to present both sides of the argument,I strongly feel that she is one sided and firmly believes that fetuses and newborn infants experience pain as early as 20 weeks of gestation.…
Visser, L (2001) ‘Epidural Anaesthesia’ Update in Anaesthesia, 13(11) pp 1- 4.Nda[online] Available at : http://www.nda.ox.ac.uk/wfsa (Accessed: 21 March, 2008).…
Epidural anesthesia is preferred by some clinicians. Epidural anesthesia and analgesia requires placing a specially designed needle (Hustead, Tuohy, or Crawford) into the epidural space. Drugs may be injected directly through the needle or an epidural catheter may be inserted. Subsequent postoperative analgesia may utilize continuous drug infusion or injection of a single drug. A variety of other agents have been added to epidural infusions Epinephrine can induce a synergistic analgesic on the spinal cord as well as elicit vasoconstriction on the blood vessels for decreased absorption of local anesthetic36. Other multimodal approaches have utilized small doses of ketamine, an NMDA antagonist in the spinal cord, for sensory blockade and prevention of central sensitization of nociceptors37.…
The Birth Partner by Penny Simkin, provides the tools and techniques for a mother-to-be’s birth partner to support her during her labor. The author provides all the necessary details of the process of carrying and birthing a baby, and the role that the birth partner is to play. The Birth Partner examines all the technicalities of delivering a baby-- from the start to the finish. Simkin provides the reader with the essential supplies for mother and baby as well as the ‘to how’ when faced with a potential emergency or departure from the “plan” of delivery. The reader can expect to be well prepared for supporting a birthing woman once they’ve read this book.…
This nursing article analyzes women’s reactions and experiences with a second childbirth following a traumatic first birthing experience. Beck and Watson (2010) state that a successive childbirth could either aide in the healing process or have the potential to re-open old wounds and make healing harder. The research method used was Phenomenology, which used information from 35 women from across the globe. “In phenomenology, researchers ‘‘borrow’’ other individuals’ experiences to better understand the deeper meaning of the phenomenon” (Beck & Watson, 2010, p. 243).…
* Which topic did you choose? * * Best practices for pain assessment and management in specified area of practice *…
The sample size consisted of nulliparous women planning to give birth vaginally. The women were put into two groups based on the treatment they received, either epidural analgesia or other forms of pain relief including continuous midwifery support (CMS). Women who received epidural analgesia was n=690, and women who received other methods of pain relief was n=302. The results show that back pain was common before, during, and after pregnancy, and women were at risk for post-partum back pain at six months if they had back pain before pregnancy or at two months after pregnancy. There was no significant relationship between “epidural analgesia, mode of delivery, spontaneous or induced labor, birthweight, and back pain during pregnancy” with post-partum back pain at six months. Headache was much more common in women who received epidural analgesia, during pregnancy and at two months, but not at six months. The study also showed that there was no association of migraine with epidural analgesia. In conclusion, epidural analgesia does not have a significant effect on persisting post-partum back pain, headache, or…
Antenatal factors also influence the development of the baby, as during the pregnancy the mother may have taken illegal drugs or alcohol. This can cause the baby to develop an addiction; due to this they will have to be weaned off of it. Infections can also pass through the umbilical cord such as rubella, which can leave the baby deaf or blind when born. When the baby is being delivered, there may be complications which can affect the baby's health such as lack of oxygen. This can be caused by the umbilical cord becoming entangled. As a result of this, the baby can be left with permanent brain damage. Using analgesic drugs during labour is also a risk.…
If you receive an epidural anesthetic and need more than one dose, a tiny, flexible tube (catheter) will be placed where the anesthetic was injected. Additional doses will be given through the catheter. If you need pain medicine after surgery, the catheter will be kept in place.…
The most common side effect is a drop in blood pressure. This effect is almost universal and is usually preemted by administering IV fluids before placeing an epidural. Other common side effects of epidurals include inability to pass urine for up to 2/3 of women. Opiate drugs can cause unexspected breathing difficulties…
Sometime ago, women face childbirth with fear and anxieties. They knew that childbirth could be a difficult and sometimes extremely dangerous experience for women and babies. “During the seventeenth and eighteenth centuries, between 1 percent and 1.5 percent of all births ended in the mother’s death. A mother’s lifetime chances of dying in childbirth ran as high as 1 in 8…
Cocaine use during pregnancy can cause placental problems, including placental abruption. In this condition, the placenta pulls away from the wall of the uterus before labor begins. This will lead to heavy bleeding that can be life threatening for both mother and baby. The baby may be deprived of oxygen and adequate blood flow when an abruption occurs. Prompt cesarean delivery, however; can prevent most deaths but may not prevent serious complications for the baby caused by lack of oxygen (March of Dimes Foundation,…
One of the other definite pros of the Lamaze classes was learning about the epidural. We learnt how it is put in and some the positive and negative things about having one. I knew that I would probably want to request one when the pain got to be too much but I did have my doubts because I have heard a lot of negatives things about epidurals in the past. Fortunately, my instructor was able to put my worries to rest by educating me further on the topic and giving me enough confidence in epidurals that I decided if I was able to get one during labor I would. I am happy to say I have no regrets on the epidural, whatsoever.…
3. Adverse events that may include medication errors, infection acquired from surgrery, falls while in hospitals, uncontrolled pain or wrong procedures undertaken.(Dempsey, French, Hillege, Wilson. 2009,p.681)…
My insatiable appetite for knowledge coupled with compassion and commitment to nursing shape my desire to pursue a DNP in nurse anesthesia. Clinical rotations in OR as a close observer during an open Heart Surgery at the IMMC, while a student at the DePaul University also afforded me opportunity to see administration anesthetic drugs by a CRNA. In concretizing my interest to purse a DNP in Nurse Anesthesia, nothing can be more absolute than witnessing the births of our three children and the joy that they have brought in to my life. I saw firsthand as the nurse anesthetist administered the epidural…