39 years female, 40 weeks gestation, 4mm dilated cervix. Which is the safest option for analgesia-
Ans. is 'b' i.e., Epidural block o When complete relief ofpain is needed throughout labour, epidural analgesia is the safest and simplest method.o For Vaginal delivery - a complete block from T10 to S5For Caesarian section - a complete block from T4 to SI is needed.o Paracervical nerve blockUsed for pain relief during first stage of labour.o Pudendal nerve block:Does not relieve pain of labour but produces perineal analgesia and relaxation and is mostly used for forceps and vaginal breech delivery).
Intramuscular pentazocin
Epidural block
Pudendal block
Premixed nitrous oxide and oxygen
Operative Gynaecology