NSG 3111 Lecture Notes - Lecture 4: Central Nervous System, Cervical Dilation, Visceral Pain

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Week 4: comfort measures for labour and childbirth. Pain in labour: personal and subjective experience, differs from one person to another, varies within the same person, from one time to the next (cid:498)whatever the person says it is, existing whenever she says it does(cid:499) Pain experience: all aspects surrounding the sensation of pain before, during, and after it is felt (sensations, feelings, responses, impact of others) Pain intensity: severity of the pain sensation (rated on numerical or using words) Intensity or duration of pain the patients is willing to endure without pain relief: varies markedly from one person to another, everyone has similar pain threshold. Expectations: every woman approaches labour with wishes, dreams and expectations for, these expectations can vary form the wish for an intervention-free birth to their own experience the opposite extreme of a (cid:498)pain free(cid:499) birth. 1st stage: abdominal and low back pain, caused by uterine contraction and cervical dilation, visceral pain dull, ill-defined, poorly localized.

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