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PAIN MANAGEMENT DURING CHILBIRTHING PROCESS

  • Follows the Gate Control Theory
  • Three techniques to help gating mechanisms are: Cutaneous stimulation, Distraction, and Reduction of Anxiety.
  • Methods Include:
1. The Bradley Method by Robert Bradley
  • Stresses on the role of husband.
  • Muscle toning exercise.
  • Diets contain no animal fats, preservatives or high salts
  • Walking is encouraged during labor and used of internal focus point as disassociation technique.
2. The Psychosexual method by Shiela Kitzinger
  • A program of conscientious relaxation and levels of progressive breathing to "go with the flow" of contractions.
3. The Dick- Read Method by Grantly Dick
  • Eliminates fear to tension and eventually pain sensation.
  • Done with relaxation exercises and abdominal breathing during labor.
4. The Lamaze method by Ferdinand Lamaze
  • Follows the concept of stimulus- response conditioning: Preventing pain in labor by use of the mind guided by the premise.
  1. Pain does not have to occur during contraction
  2. Sensation such as uterine contraction can be inhibited from reaching the brain cortex and registering as pain.
  3. Conditioned reflexes are positive action use to replace pain sensations of labor.
  • This method is for those whose AOG is at least 26 weeks only.
  • Typical exercises include:
  1. The cleansing breath- breaths in deeply and exhales deeply to begin any breathing exercises.
  2. Conscious relaxation- deliberately contracts and relaxes body portions from head to toe.
  3. Consciously controlled breathing- Chest breathing following these pattern: slow> shallow> Pant blow> shallow chest panting.
  4. Effleurage- light abdominal massage.
  5. Focusing/ Imaging.