Pains of Pregnancy and Childbirth Essay

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Total Length: 1758 words ( 6 double-spaced pages)

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Pain Management of Obstetric Patients

DEALING WITH BIRTH PAINS

Causes and Management Intervention

Two Sources of Pain

Pain is classified into nociceptive or neuropathic (ICEA, 2014). Nociceptive pain develops from tissue, muscle or bones. It is dull, aching, burning, stretching or beating. It crosses through mylenated nerve fibers. Neuropathic pain, on the other hand, emanates from the nerves when some damage has been inflicted on them (ICEA, 2014). It may be chronic when it is numbing, tingling or burning. Over-stimulation of the nerve fibers can damage them as in a burned-out state (ICEA),

The three stages of the birth process are antepartum or before birth, intrapartum or during delivery, and postpartum or following childbirth or delivery (ICEA, 2014).

Antepartum -- These are visceral and somatic or perineal (ICEA, 2014).

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Visceral pain emanates from the internal organs located in the abdominal and pelvic cavities and spreads and referred to nerve pathways. This occurs in the first stage of labor. During this stage, sporadic uterine contractions begin and become regular, more frequent, more intense and longer. The uterine muscles expand and then relax alternately. The cervix opens and small blood vessels at the walls of the vagina and cervix break. This inflammatory response creates much pain but is considered normal. Somatic pain is a sharp sensation from the connective tissue, muscle, bone and skin. This occurs during the second stage of labor, when the ligaments stretch and the cartilage and bones relax. The pain sensation runs through the pudendal and perinatal nerve pathways of the lower sacral part (ICEA)......

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