Describe common labor and delivery medications in the United States, and give the possible problems associated with their use

Question

What will be an ideal response?

Answer 1

Although natural childbirth techniques lessen or eliminate the need for pain-relieving drugs, some form of medication is used in more than 80 percent of U.S. births. Analgesics, drugs used to relieve pain, may be given in mild doses during labor to help a mother relax. Anesthetics are a stronger type of painkiller that blocks sensation. Currently, the most common approach to controlling pain during labor is epidural analgesia, in which a regional pain-relieving drug is delivered continuously through a catheter into a small space in the lower spine. Unlike older spinal block procedures, which numb the entire lower half of the body, epidural analgesia limits pain reduction to the pelvic region. Because the mother retains the capacity to feel the pressure of contractions and to move her trunk and legs, she is able to push during the second stage of labor. Although pain-relieving drugs help women cope with childbirth and enable doctors to perform essential medical interventions, they also cause problems. Epidural analgesia, for example, weakens uterine contractions. As a result, labor is prolonged, and the chances of cesarean (surgical) delivery increase. And because drugs rapidly cross the placenta, exposed newborns tend to have lower Apgar scores, to be sleepy and withdrawn, to suck poorly during feedings, and to be irritable when awake. Although no confirmed long-term consequences for development exist, the negative impact of these drugs on the newborn's adjustment supports the current trend to limit their use.