{"id":1162,"date":"2022-02-22T14:59:48","date_gmt":"2022-02-22T13:59:48","guid":{"rendered":"https:\/\/babyjourney.se\/?p=1162"},"modified":"2025-10-16T14:46:57","modified_gmt":"2025-10-16T12:46:57","slug":"pharamacological-smart-relief","status":"publish","type":"post","link":"https:\/\/webstaging.babyjourney.se\/en\/forlossning\/faramakologisk-smartlindring\/","title":{"rendered":"Pharmacological pain relief - your options"},"content":{"rendered":"<p data-start=\"392\" data-end=\"622\">Pain relief is one of the most common topics of conversation before childbirth. Here we go through the most common forms of <strong data-start=\"510\" data-end=\"541\">pharmacological pain relief<\/strong>, i.e. drug-based relief, and how they can be used during childbirth.<\/p>\n<h2 data-start=\"629\" data-end=\"672\">What is pharmacological pain relief?<\/h2>\n<p data-start=\"674\" data-end=\"743\">In childbirth, you can choose between two main routes for pain relief:<\/p>\n<ul>\n<li data-start=\"747\" data-end=\"821\"><strong data-start=\"747\" data-end=\"783\">Non-pharmacological pain relief<\/strong> - natural methods without medicines.<\/li>\n<li data-start=\"747\" data-end=\"821\"><strong data-start=\"824\" data-end=\"855\">Pharmacological pain relief<\/strong> - medicines that affect the body's pain signals.<\/li>\n<\/ul>\n<p data-start=\"906\" data-end=\"1075\">This article focuses on pharmacological options, that is, different <strong data-start=\"983\" data-end=\"1018\">medicines and anaesthetic methods<\/strong> which can reduce or block pain during childbirth.<\/p>\n<p data-start=\"906\" data-end=\"1075\"><em><strong data-start=\"1082\" data-end=\"1095\">Remember!<\/strong><\/em>\u00a0There is no prestige in the type or amount of pain relief you choose. The most important thing is that you feel safe and involved in the decision.<\/p>\n<h2 data-start=\"1244\" data-end=\"1289\">Options for pharmacological pain relief<\/h2>\n<h3 data-start=\"1291\" data-end=\"1302\">nitrous oxide<\/h3>\n<p data-start=\"1303\" data-end=\"1556\">Nitrous oxide has been used in obstetrics for over 100 years. It is given in a mixture with oxygen and inhaled through a mask that you hold yourself.<br data-start=\"1441\" data-end=\"1444\" \/>About 14 % of all births use nitrous oxide alone. Many appreciate being able to control the pain relief themselves.<\/p>\n<h3 data-start=\"1563\" data-end=\"1590\">Epidural anesthesia (EDA)<\/h3>\n<p data-start=\"1591\" data-end=\"1784\"><strong data-start=\"1591\" data-end=\"1612\">Epidural anesthesia<\/strong>, or spinal anesthesia, is given in the epidural space - a space outside the spinal canal.<br data-start=\"1695\" data-end=\"1698\" \/>An anesthesiologist inserts a thin plastic catheter through which the anesthetic is given, either:<\/p>\n<ul>\n<li data-start=\"1788\" data-end=\"1821\">via <strong data-start=\"1792\" data-end=\"1818\">pump that you control yourself<\/strong>,<\/li>\n<li data-start=\"1788\" data-end=\"1821\">via <strong data-start=\"1828\" data-end=\"1853\">continuous dosing<\/strong>,<\/li>\n<li data-start=\"1788\" data-end=\"1821\">or by <strong data-start=\"1871\" data-end=\"1896\">repeated injections<\/strong> by the midwife.<\/li>\n<\/ul>\n<p data-start=\"1914\" data-end=\"2149\">Common side effects include itching (in 50-80 %) and a drop in blood pressure, which is often counteracted with fluids or drips.<br data-start=\"2029\" data-end=\"2032\" \/>For those who have <strong data-start=\"2048\" data-end=\"2089\">pre-eclampsia (pre-eclampsia)<\/strong> EDA can have a positive effect by lowering blood pressure.<\/p>\n<p data-start=\"2151\" data-end=\"2323\">Research is still investigating the relationship between EDA and length of labor, pushing ability and risk of instrumental delivery. After delivery, the catheter is removed.<\/p>\n<h3 data-start=\"2330\" data-end=\"2349\">Spinal anesthesia<\/h3>\n<p data-start=\"2350\" data-end=\"2539\"><strong data-start=\"2350\" data-end=\"2369\">Spinal anesthesia<\/strong> is given inside the epidural space and acts quickly, but the effect lasts only 1-4 hours.<br data-start=\"2454\" data-end=\"2457\" \/>It is often used in <strong data-start=\"2478\" data-end=\"2510\">faster labor progress<\/strong>, especially in women giving birth.<\/p>\n<h3 data-start=\"2546\" data-end=\"2575\">PCB - Paracervical blockade<\/h3>\n<p data-start=\"2576\" data-end=\"2842\">PCB involves injecting a local anesthetic into <strong data-start=\"2619\" data-end=\"2637\">the cervix<\/strong> to block nerves that send pain signals to the brain.<br data-start=\"2701\" data-end=\"2704\" \/>The effect is similar to the epidural, but <strong data-start=\"2737\" data-end=\"2753\">does not stun<\/strong> vagina, pelvic floor or rectum. Therefore, PCBs are sometimes combined with PDB in the crystalline phase.<\/p>\n<h3 data-start=\"2849\" data-end=\"2898\">PDB - Pillow block (pelvic floor anesthesia)<\/h3>\n<p data-start=\"2899\" data-end=\"3023\">By <strong data-start=\"2903\" data-end=\"2910\">PDB<\/strong> local anesthesia is injected at <strong data-start=\"2940\" data-end=\"2960\">pudenda nerves<\/strong>, near the spina bifida in the pelvis.<br data-start=\"2993\" data-end=\"2996\" \/>The method blocks pain in:<\/p>\n<ul>\n<li data-start=\"3027\" data-end=\"3034\">vulva<\/li>\n<li data-start=\"3027\" data-end=\"3034\">perineum (perineum)<\/li>\n<li data-start=\"3027\" data-end=\"3034\">lower third of the vagina<\/li>\n<\/ul>\n<p data-start=\"3096\" data-end=\"3205\">The midwife or doctor can give the injection either internally or externally - both reach the same nerve area.<\/p>\n<h3 data-start=\"3212\" data-end=\"3243\">General anesthesia (sedation)<\/h3>\n<p data-start=\"3244\" data-end=\"3411\"><strong data-start=\"3244\" data-end=\"3255\">Anesthesia<\/strong> used in certain <strong data-start=\"3274\" data-end=\"3289\">caesarean section<\/strong>, in consultation between anesthesiologist and obstetrician.<br data-start=\"3343\" data-end=\"3346\" \/>You will sleep throughout the procedure and wake up when the operation is finished.<\/p>\n<h2 data-start=\"3418\" data-end=\"3437\"><strong data-start=\"3439\" data-end=\"3486\"><!-- Answer blocks \u2014 skapade direkt fr\u00e5n anv\u00e4ndarens text (ingen omskrivning) --><\/strong><\/h2>\n<div class=\"answer-blocks\">\n<section class=\"answer-block\" aria-labelledby=\"q1\">\n<h2 id=\"q1\">Rapid responses<\/h2>\n<\/section>\n<section class=\"answer-block\" aria-labelledby=\"q2\">\n<h4 id=\"q2\">What is pharmacological pain relief?<\/h4>\n<p>It involves pain relief with medicines, unlike natural methods.<\/p>\n<\/section>\n<section class=\"answer-block\" aria-labelledby=\"q3\">\n<h4 id=\"q3\">What pain relief do you control?<\/h4>\n<p>Nitrous oxide and some epidural pumps give you control over the dosage.<\/p>\n<\/section>\n<section class=\"answer-block\" aria-labelledby=\"q4\">\n<h4 id=\"q4\">Which method is most widely used in Sweden?<\/h4>\n<p>Epidural anesthesia (EDA) is most common among first-time mothers.<\/p>\n<\/section>\n<section class=\"answer-block\" aria-labelledby=\"q5\">\n<h4 id=\"q5\">When is anesthesia used in childbirth?<\/h4>\n<p>Mainly for caesarean sections when no other anesthesia is possible.<\/p>\n<\/section>\n<section class=\"answer-block\" aria-labelledby=\"q6\">\n<h4 id=\"q6\">Can you combine different methods?<\/h4>\n<p>Yes, for example, PCBs and PDBs can be combined for better effect.<\/p>\n<\/section>\n<\/div>\n<h2 data-start=\"4196\" data-end=\"4247\">FAQ - Frequently asked questions<\/h2>\n<p data-start=\"4249\" data-end=\"4468\"><strong data-start=\"4249\" data-end=\"4332\">1. What is the difference between non-pharmacological and pharmacological pain relief?<\/strong><br data-start=\"4332\" data-end=\"4335\" \/>Non-pharmacological pain relief is natural methods without drugs. Pharmacological pain relief involves the use of medicines.<\/p>\n<p data-start=\"4470\" data-end=\"4576\"><strong data-start=\"4470\" data-end=\"4514\">2. What percentage uses only nitrous oxide?<\/strong><br data-start=\"4514\" data-end=\"4517\" \/>Approximately 14 % of all births are managed with nitrous oxide alone.<\/p>\n<p data-start=\"4578\" data-end=\"4686\"><strong data-start=\"4578\" data-end=\"4601\">3. What does EDA mean?<\/strong><br data-start=\"4601\" data-end=\"4604\" \/>EDA stands for epidural anesthesia, a form of spinal anesthesia given in the epidural space.<\/p>\n<p data-start=\"4688\" data-end=\"4748\"><strong data-start=\"4688\" data-end=\"4728\">4. How long does spinal anesthesia last?<\/strong><br data-start=\"4728\" data-end=\"4731\" \/>Approximately 1-4 hours.<\/p>\n<p data-start=\"4750\" data-end=\"4851\"><strong data-start=\"4750\" data-end=\"4773\">5. What does the PDB assess?<\/strong><br data-start=\"4773\" data-end=\"4776\" \/>PDB numbs the vulva, perineum and lower third of the vagina.<\/p>\n<p data-start=\"4853\" data-end=\"4966\"><strong data-start=\"4853\" data-end=\"4890\">6. When is general anesthesia used?<\/strong><br data-start=\"4890\" data-end=\"4893\" \/>In case of caesarean section, after consultation between anaesthetist and obstetrician.<\/p>\n<p><strong>Read about non-pharmacological pain relief <a href=\"https:\/\/webstaging.babyjourney.se\/en\/childbirth\/non-pharmacological-smart-relief-2\/\">here<\/a>!<\/strong><\/p>","protected":false},"excerpt":{"rendered":"<p>Pain relief is one of the most common topics of discussion leading up to childbirth. Here, we\u2019ll go over the most common forms of pharmacological pain relief\u2014that is, medication-based relief\u2014and how they can be used during childbirth. What does pharmacological pain relief mean? During childbirth, you can choose between\u2026<\/p>","protected":false},"author":4,"featured_media":1161,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-1162","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-forlossning"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Farmakologisk sm\u00e4rtlindring - Dina alternativ | Baby Journey<\/title>\n<meta name=\"description\" content=\"Sm\u00e4rtlindring \u00e4r en av de stora samtals\u00e4mnena kring en f\u00f6rlossning. 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