Pain in childbearing and its control : key issues for by Rosemary Mander

By Rosemary Mander

Concentrating on the mother's adventure of discomfort and her contribution to its keep an eye on, this available textual content covers the history to historic and medical realizing of ache and considers tools of discovering and measuring ache.

Now in its second version, Pain in Childbearing and its Control explores being pregnant, labour and puerperal discomfort, in addition to fetal and neonatal discomfort. in addition to impending the subject in massive intensity, the be aware 'pain' is interpreted commonly. during the textual content, research-based theoretical ways to ache and ache keep an eye on are awarded in the context of care. the potential of being concerned interventions being iatrogenic, or stressful the woman's ache, lends this ebook a perceptively political orientation. Pain in Childbearing and its Control should be important to midwives and quite a lot of care companies who search to aid the lady in dealing with her event of childbearing and any linked pain.

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Extra resources for Pain in childbearing and its control : key issues for midwives and women

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From these words the patient chooses those that best describe her pain. The words cover sensory aspects of pain, such as ‘tugging’, affective aspects, such as ‘fearful’, evaluative aspects, such as ‘unbearable’, and miscellaneous aspects, such as ‘wretched’. Using an MPQ provides quantitative information in the form of scores indicating the sensory, affective and evaluative dimensions of pain. These are the Present Pain Intensity (PPI), the Pain Rating Index (PRI) and the Number of Words Chosen (NWC).

I think that sometimes the midwife isn’t coping with the pain either. They think that the woman isn’t and actually they’re not. Midwife in Leap 1996: 48, her emphasis Difficulty in coping is aggravated by a low tolerance for noise in labour areas. The result, which some of us have encountered, is the midwife being reprimanded by her colleagues for noises emanating from the birthing room. Thus, the ‘pain relief menu’ originates as well-meaning, to the point of humanitarianism, but it insidiously carries subliminal messages.

These researchers conclude that longitudinal prospective measurements are feasible in labour, linking them to the feedback provided for the women. Mechthild Gross and colleagues’ work suggests that data collection in labour may serve to evaluate and improve pain and other interventions. Researching pain Origins The ground-breaking event in the history of controlling childbearing pain was the first administration of ether to a woman in labour by James Young Simpson in 1847 (Mander 1998a). The research basis of Simpson’s subsequent introduction of chloroform, like so many in obstetrics, was scanty to say the least, being undertaken in Simpson’s dining room.

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