As doulas, we support all different types of births- and if you are interested in pain management we don’t judge at all! This list might be handy to help you navigate all the options available.
Types Of Pain Management
IV Medications- These are typically opioids like fentanyl or Nubain
Available at: All local hospitals
Pros: Good for extreme pain in Early Labor or early induction phase when you may just need something to help you before you are ready for an epidural.
Short Acting
Cons: May cause drowsiness and drugged feeling. Can lower respiratory rate in baby and they may require support after delivery
Epidural- 2 medications (pain and numbing) delivered continuously through a spinal catheter
Available at: All local hospitals
Pros: Relieves pain but not pressure so you can feel when to push. Can allow a birthing person to relax and nap which can help recover energy during a longer labor.
Cons: Can cause decrease in blood pressure- which may affect baby’s heart rate. You will not be able to walk (although we can help you move positions) May not fully work.
Walking Epidural- One medication delivered continuously through spinal catheter
Available at: Winnie Palmer
Pros: Pain relief that doesn’t reach the baby while still allowing for movement. Can switch to a full epidural with only a switch of the medication bag
Cons: May not provide enough relief. May cause decrease in blood pressure which may affect baby’s heart rate.
Nitrous Oxide- Nitrous mixed with Oxygen that you breathe during contractions
Available at: Winnie Palmer, Advent Health Orlando/Winter Park/ Altamonte, Oviedo Medical Center, Tree of Life Birth and Gynecology
Pros: You can control the use and you can use throughout labor. Quickly leaves your system, and causes little effect to baby. Can remain mobile
Cons: Doesn’t fully eliminate pain. Can cause dizziness and nausea.
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