Managing Complications in Pregnancy and Childbirth: - IAWG

P-6 Pudendal block• Inject 10 mL of lignocaine solution.• Withdraw the needle into the guide and reposition the guide to justabove the ischial spine.• Penetrate the vaginal mucosa and aspirate again to be sure that novessel has been penetrated.• Inject another 5 mL of lignocaine solution.• Repeat the procedure on the other side, using the right index fingerto palpate the woman’s right ischial spine. Use the left hand toadvance the needle and needle guide and inject the lignocainesolution.• If an episiotomy is to be performed, infiltrate the episiotomy site inthe usual manner at this time (page P-71).• At the conclusion of the set of injections, wait 2 minutes and thenpinch the area with forceps. If the woman can feel the pinch, wait 2more minutes and then retest.Anaesthetize early to provide sufficient time for effect.