Managing Complications in Pregnancy and Childbirth: - IAWG

Anaesthesia and analgesiaC-45- Give analgesics or sedatives at an appropriate time before theprocedure (30 minutes before for IM and 60 minutes before fororal medication) so that maximum relief will be provided duringthe procedure;- Use dilute solutions in adequate amounts;- Check the level of anaesthesia by pinching the area withforceps. If the woman feels the pinch, wait 2 minutes and thenretest.- Wait a few seconds after performing each step or task for thewoman to prepare for the next one;- Move slowly, without jerky or quick motions;- Handle tissue gently and avoid undue retraction, pulling orpressure;- Use instruments with confidence;- Avoid saying things like “this won’t hurt” when, in fact, it willhurt; or “I’m almost finished” when you are not;- Talk with the woman throughout the procedure.• The need for supplemental analgesic or sedative medications (bymouth, IM or IV) will depend on:- the emotional state of the woman;- the procedure to be performed (Table C-6, page C-45);- the anticipated length of the procedure;- the skill of the provider and the assistance of the staff.