History of Labor Pain Relief

2015 ◽  
pp. 49-61
Author(s):  
Javier Moscoso
Keyword(s):  
2016 ◽  
Vol 60 (4) ◽  
pp. 534-556 ◽  
Author(s):  
Ema Hrešanová

This paper explores the history of the ‘psychoprophylactic method of painless childbirth’ in socialist Czechoslovakia, in particular, in the Czech and Moravian regions of the country, showing that it substantially differs from the course that the method took in other countries. This non-pharmacological method of pain relief originated in the USSR and became well known as the Lamaze method in western English-speaking countries. Use of the method in Czechoslovakia, however, followed a very different path from both the West, where its use was refined mainly outside the biomedical frame, and the USSR, where it ceased to be pursued as a scientific method in the 1950s after Stalin’s death. The method was imported to Czechoslovakia in the early 1950s and it was politically promoted as Soviet science’s gift to women. In the 1960s the method became widespread in practice but research on it diminished and, in the 1970s, its use declined too. However, in the 1980s, in the last decade of the Communist regime, the method resurfaced in the pages of Czechoslovak medical journals and underwent an exciting renaissance, having been reintroduced by a few enthusiastic individuals, most of them women. This article explores the background to the renewed interest in the method while providing insight into the wider social and political context that shaped socialist maternity and birth care in different periods.


1936 ◽  
Vol 32 (10) ◽  
pp. 1231-1232
Author(s):  
A. A. Shklyaev
Keyword(s):  

Back in 1935, we began to use methods of pain relief in childbirth, partly published in the central press, partly heard in reports.


2016 ◽  
Vol 27 (2) ◽  
pp. 57-62
Author(s):  
Saria Tasnim ◽  
FM Anamul Haque ◽  
Sameena Chowdhury

Objective: To determine the socio demographic characteristics, clinical presentation and obstetric outcome at delivery and immediate postpartum period of twin gestation in a periurban hospitalMaterial & Methods: An observational study was conducted between January 2000 to December 2004 at Institute of Child and Mother Health. All twin pregnancy irrespective of gestational age admitted in the in-patient department of Institute of Child and Mother Health for delivery and also those undiagnosed cases found to have twin birth were enrolled in the study consecutively from January 2001 to December 2004. Data on socio-demographic factors, predisposing factors for twin gestation and obstetric characteristics was collected using a structured questionnaire. Hospital records were consulted for recording the investigation reports and management options. The outcome variables were maternal complications during antenatal, intranatal and immediate postnatal period, mode of delivery, birth weight and sex of newborn and fetal outcome. All twin pregnancies from the admitted obstetric patients were enrolled consecutivelyResults: During the study period there were 11,185 deliveries and among them 107 were twin gestation. About 22% were primigravida, 78.5% multigravida, 27.1% were illiterate. Most common age group were 24-29 years (39.4%). Antenatal care was availed by 71% of patients and 27.1% twins were not diagnosed till delivery. Family history of twin on maternal side was present in 58.1% and 31.8% had history of taking oral contraceptive immediately before the pregnancy. Ovulation inducing agents were given to 8.3% of twin. Presentations of fetus were both vertex 54.2%, 1st vertex and second breech 16%, and both breech 5.7%. About 55.1% were admitted with labor pain, 6.5% were undelivered second twin. Preterm birth was 27.2% and low birth weight of 1st baby 79.6% and second baby 80.9% respectively. Mode of delivery was vaginal delivery of both fetus 41.6%, caesarean section of both fetus 62.4%, and caesarean for second twin 3.1%. Same sex of both twins was found in 78% and male-male pair was 50%. There was one stillbirth, one conjoined twin and perinatal death was 11.2% Complications encountered during perinatal period were severe abdominal pain 9.3%, retained placenta in 7.3%; and post partum hemorrhage in 4.6% cases.Conclusion: Twin pregnancy is quite common and warrants specialized care during ante partum, intrapartum and postpartum period.Bangladesh J Obstet Gynaecol, 2012; Vol. 27(2) : 57-62


2019 ◽  
Vol 6 (2) ◽  
pp. 365
Author(s):  
Probal Neogi ◽  
Soumitra Manwatkar ◽  
Santosh Kumar Singh ◽  
Anish Kola ◽  
Qazi Imran ◽  
...  

Background: Mastalgia is a common problem and 60-70% women encounter it at least once in their lifetime. Many drugs have been used and are been used with varying response, like Tamoxifen, Danazol, primrose oil, topical analgesics and recently Centchroman. The objective of the present study was to compare the three most commonly used drugs in the treatment of mastalgia, namely Centchroman, Tamoxifen and Danazol with a placebo.Methods: All consecutive female patients more than 25 years of age with history of mastalgia for more than 3 months were taken up for the study. Patients were distributed into four groups and administered Centchroman, danazol, tamoxifen and placebo, respectively.Results: In present study of 78 patients, the median visual analogue score (VAS) in Centchroman group were 3, 1 and 3 after treatment of 4, 12 and 24 weeks, respectively with a pre-treatment VAS of 8. Similarly, in the danazol group, VAS at 4, 12 and 24 weeks were 4, 1.5 and 5, respectively. In the Tamoxifen group it was 4, 1 and 3 after treatment for 4, 12 and 24 weeks. On comparison, Centchroman and Tamoxifen both had better pain relief than danazol at 24 weeks (p <0.001) while Centchroman and Tamoxifen had comparable results (p >0.05) despite Centchroman having a lower mean VAS score.Conclusions: Mild cyclical mastalgia can be treated with reassurance and lifestyle measures. Moderate to severe mastalgia usually require drug treatment. Centchroman, Danazol and Tamoxifen are effective. Centchroman appears to have better pain relief relative to the rest.


2020 ◽  
Vol 73 (7) ◽  
pp. 1339-1344
Author(s):  
Martyna Rozek ◽  
Zuzann Smiech ◽  
Marcin Kolacz ◽  
Dariusz Kosson

The aim: Women of reproductive age often think of motherhood and labor with fear of intense labor pain. The anxiety they experience can lead to their postponing pregnancy. There are not many studies in the literature that research the knowledge young women have about the analgesia of labor. The aim of the present work was to evaluate the state of awareness about the possible methods of labor analgesia among women of childbearing age. Material and methods: An Internet survey was conducted among 160 women. It consisted of questions on the pharmacological and non-pharmacological methods of labor analgesia. Most of the respondents were not medical university students (96.2%). Correct answers ranged between 11.3% and 97.5% of the total responses. Results: The greatest number of incorrect answers were given to the question regarding contraindications to labor anesthesia (only 11.3% of answers were correct). There was also a low percentage of correct answers to questions about the risk of spinal cord injury during the procedure of inducing anesthesia (18.8% of correct answers), the motor activity of a woman after analgesia (22.5%) and the reimbursement of anesthesia (29.4%). Nearly 40% of the respondents did not know the correct answer to the question about the possibility of breastfeeding after anesthesia. The problem of aalgesia during twin delivery also posed a challenge. Over half of the respondents (54.1%) incorrectly answered the question about the occurrence of complications among women who want to become pregnant again after the procedure of labor anesthesia. Moreover, 70.6% of the women surveyed considered non-pharmacological methods of labor anesthesia to be safer compared to pharmacological analgesia. The most commonly mentioned methods of non-pharmacological labor pain relief included breathing techniques and water birth. Conclusions: The study shows that women


2019 ◽  
Vol 13 (2) ◽  
pp. 455
Author(s):  
Maria Andréia da Silva ◽  
Isabel Veras de Sousa Sombra ◽  
Janaina Selegy Jacinto da Silva ◽  
Júlio César Bernardino da Silva ◽  
Leticia Rafaele Figueirôa de Melo Dias ◽  
...  

RESUMOObjetivo: analisar a utilização da aromaterapia no alívio da dor durante o trabalho de parto. Método: trata-se de um estudo bibliográfico, descritivo, do tipo revisão integrativa no período de 2000 a 2017, nas bases de dados MEDLINE, LILACS e BDENF. Analisaram-se os estudos a partir de uma leitura exploratória dos artigos e apresentaram-se os resultados de forma descritiva em figuras. Consideraram-se as categorias temáticas que emergiram da Técnica de Análise de Conteúdo após a análise dos artigos. Resultados: observou-se nos estudos selecionados que a aromaterapia possui um leque de variedades com properiedades específicas e que é um método excelente para o alívio da dor e/ou diminuição da ansiedade e medo, como também no auxílio da contração e redução do tempo de trabalho de parto. Conclusão: recomenda-se a ampliação de conhecimento referente aos benefícios da aromaterapia por parte dos profissionais que estão ligados a assistência obstétrica, principalmente o profissional de enfermagem por está no acompanhamento contínuo da mulher em trabalho de parto. Destaca-se também, a necessidade de novos estudos que reconheçam outros tipos de métodos não farmacológicos. Descritores: Enfermagem Obstétrica; Atenção Integral à Saúde da Mulher; Aromaterapia; Medicina Tradicional; Dor do Parto; Trabalho de Parto.ABSTRACT Objective: to analyze the use of aromatherapy in pain relief during labor. Method: this is a bibliographic, descriptive, integrative review study in the period from 2000 to 2017, in databases MEDLINE, LILACS, and BDENF. The studies were analyzed from an exploratory reading of articles and the results were descriptively presented in figures. Thematic categories emerged from the Content Analysis Technique after analyzing the articles. Results: the studies selected showed that aromatherapy has a range of varieties with specific properiedades and is an excellent method for the pain relief and/or decreasing anxiety and fear, as well as aids in the contraction and reduction of labor time. Conclusion: there should be expansion of the knowledge concerning the benefits of aromatherapy by professionals related to obstetric care, especially the nursing professional, who is part of the continuous monitoring of the woman in labor. There is also need for further studies that recognize other types of non-pharmacological methods. Descritores: Obstetric Nursing; Comprehensive Women’s Health Care; Aromatherapy; Traditional Medicine; Labor Pain; Labor.RESUMEN Objetivo: analizar el uso de la aromaterapia en el alivio del dolor durante el trabajo de parto. Método: este es un estudio bibliográfico, descriptivo, del tipo revisión integradora en el período de 2000 a 2017, en las bases de datos MEDLINE, LILACS y BDENF. Se analizaron los estudios desde una lectura exploratoria de los artículos y se presentaron los resultados de forma descriptiva en figuras. Se consideraron las categorías temáticas que surgieron a partir de la técnica de análisis de contenido, después del análisis de los artículos. Resultados: se observó en los estudios seleccionados que la aromaterapia tiene una amplia gama de variedades con properiedades específicos y que es un excelente método para el alivio del dolor y/o la disminución de la ansiedad y el temor, así como ayuda en la contracción y la reducción del tiempo de trabajo de parto. Conclusión: se recomienda la ampliación de los conocimientos acerca de los beneficios de la aromaterapia por los profesionales que están relacionados con la atención obstétrica, especialmente al profesional de enfermería por la continua vigilancia de la mujer en el trabajo. También se destaca la necesidad de más estudios que reconocen otros tipos de métodos no farmacológicos. Descritores: Enfermería Obstétrica; Atención Integral de Salud; Aromaterapia; Medicina Tradicional; Dolor de Parto; Trabajo de Parto.


2017 ◽  
Vol 7 (3) ◽  
pp. 25-28
Author(s):  
Amshu Dhakal ◽  
Shrooti Shah ◽  
Babita Singh

Background: Labor pain is a universal phenomenon and it is associated with the contraction of uterus. Rather than making the pain disappear with pharmacotherapy, the nurses can assist the laboring women to cope up with, build their self-confidence and maintain a sense of mastery of well-being. Thus, nurses must have knowledge to assess pain to implement pain relief strategies. Methods: A descriptive cross-sectional study was carried out among 52 nurses of Siddhartha Women and Children Hospital, Butwal, Nepal to assess Knowledge about Non-pharmacological Methods of Pain Relief during Labor using structured self-administered questionnaire. The reliability of the tool after pretesting was 0.883. Descriptive statistics was used to analyze the data. Results: Among 52 nurses, 36.5% were 18-22 years of age, 46.2% of them had qualification of Proficiency certificate level Nursing, 40.4% had experience of 3 years- 6 years. In this study, 46.2% had satisfactory knowledge about non-pharmacological methods of pain relief during labor, 32.6% had fair knowledge and remaining 21.2% had poor knowledge. Conclusion: This study concluded that less than half of the nurses had satisfactory knowledge about non-pharmacological methods of pain relief during labor. Since, there is an increased risk of complications resulting from pain and anxiety during labor, management of pain is very essential thus nurse’s knowledge on these methods is crucial. Hence, the nurses should be encouraged to enhance knowledge related to management of labor pain.


Author(s):  
Jerrold Winter

Albert Schweitzer called pain “a more terrible lord of mankind than even death.” Thus, it is not surprising that humans have from the earliest times attempted to identify plants which might provide pain relief. The Odyssey by Homer provides a mythic account of the use of one such agent. . . . Then Helen, daughter of Zeus, took other counsel. Straightaway she cast into the wine of which they were drinking a drug to quit all pain and strife, and bring forgetfulness of every ill. Whoso should drink this down, when it is mingled in the bowl, would not in the course of that day let a tear fall down over his cheeks, no, not though his mother and father should lie there dead . . . Such cunning drugs had the daughter of Zeus, drugs of healing, which Polydamna, the wife of Thor, had given her, a woman of Egypt, for there the earth, the giver of grain, bears the greatest store of drugs . . . . . . More than a century ago, it was suggested by Oswald Schmiedeberg, a German scientist regarded by many as the father of modern pharmacology, that the drug to which Homer refers is opium for “no other natural product on the whole earth calls forth in man such a psychical blunting as the one described.” When today, in the fields of Afghanistan or Turkey or India, the seed capsule of the opium poppy, Papaver somniferum, is pierced, a milky fluid oozes from it which, when dried, is opium. Virginia Berridge, in her elegant history of opium in England, tells us that the effects of opium on the human mind have probably been known for about 6,000 years and that opium had an honored place in Greek, Roman, and Arabic medicine. I will not dwell on that ancient history but will instead jump ahead to the 17th century by which time opium had gained wide use in European medicine.


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