A woman is in labor and refuses to receive any sort of anesthesia medication. Which alternative treatment is best for this patient?
a. Transcutaneous electrical nerve stimulation (TENS)
b. Herbal supplements with analgesic effects
c. Pudendal block (regional anesthesia)
d. Relaxation and guided imagery
ANS: D
In the case of a patient in labor, relaxation with guided imagery is often an effective supplement for pain management because it provides women with a sense of control over their pain. Relaxation and guided imagery can be used during any phase of health or illness. TENS units are typically used to manage postsurgical and procedural pain. Herbal supplements need to be evaluated for safety during pregnancy. Additionally, some patients consider herbal supplements to be another form of medication, and they are not typically used to control acute pain. A pudendal block is a type of regional anesthesia (injection or infusion of local anesthetics to block a group of sensory nerve fibers); use of it does not respect the patient's wishes for nonpharmacological pain control.
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