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Pudendal nerve block for vaginal birth

Deborah Anderson

    Journal of Midwifery & Women'S Health
    |October 9, 2014
    PubMed

    Pudendal nerve block is a safe and effective pain relief method for vaginal birth. Providing analgesia to the vulva and anus, it is used for operative vaginal birth and subsequent repair, late second stage pain relief with spontaneous vaginal birth, repair of complex lacerations, or repair of lacerations in women who are unable to achieve adequate or satisfactory pain relief during perineal repair with local anesthesia. Key to its efficacy is the knowledge of pudendal nerve anatomy, the optimal point of infiltration of local anesthetic, and an understanding of the amount of time necessary to effect adequate analgesia.

    Keywords:
    labor analgesialabor anesthesialabor pain managementlocal anestheticspudendal nerve block

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