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Chapter 49 - Analgesia and Anaesthesia during Labour

from Section 5 - Intrapartum Care

Published online by Cambridge University Press:  20 November 2021

By
Britt Ingjerd Nesheim
Edited by
Tahir Mahmood ,
Charles Savona Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

Childbirth is painful. During the first stage of labour, pain originates in the uterus and cervix. It is caused by ischaemia during contractions and traction on tissue fibres during distention of the cervix. Visceral sensory nerve fibres traverse into the pelvic plexus, and from there to the spinal cord at the level of T10 to L1. During the second stage, pain originates from distention of the vagina, perineum and the pelvic floor. The pudendal nerve transmits the pain signals to the spinal cord at the level of S2–S4.

Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Obstetrics & Maternal-Fetal Medicine
 , pp. 403 - 408
Publisher: Cambridge University Press
Print publication year: 2021

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