Overview

You can choose from a few types of pain relief for childbirth. These types include:

• Medical. Your doctor or midwife may offer different types of pain medicine while you are in labour.
• Non-medical. This can include things like breathing techniques and massage.

You also can use more than one of these choices.

Think about what you want during labour. Your personal needs are important when you make this choice. The right choice is the one that feels right to you. Every labour is different. You may go into labour planning to use non-medical options only and later find that you need pain medicine. For example, you will be given medicines if you need a caesarean (C-section). Plan for what you want. But be aware that things can change during labour.

What medical options can you use for pain relief?

Here are some medicines that you may be able to choose for pain control during childbirth.

• Spinal and epidural pain relief. A doctor injects medicine into a space around the spinal cord. This is called an epidural. A spinal is an injection of medicine into the spinal fluid. It works faster than an epidural. In some cases, a doctor combines a spinal with an epidural.
• I.V. medicines. These are medicines given through a vein. They don't stop pain completely.
• Nitrous oxide. You can give yourself nitrous oxide through a mask when you need pain relief.
• Pudendal block. You get a shot of medicine to numb the area around the vaginal opening.

What are some examples?

Non-medical pain relief includes:

• Support. Having a doula or support person with you may help you manage your pain better.
• Breathing techniques. Breathing in a rhythm can distract you from pain. Childbirth classes can teach you how to do focused breathing.
• Distraction. You can walk, play cards, listen to music, watch TV, take a shower, or read. These can help take your mind off your contractions.
• Massage. You can ask someone to massage your shoulders and lower back during contractions.
• Changing positions. This can help you be more comfortable.
• Imagery. You can imagine a peaceful place. For instance, you can think of contractions as waves rolling over you.
• Labouring in water. Soaking in warm water may help ease stress in early labour.
• Acupuncture. This treatment during labour may help you manage pain.