Pain management during labor Quiz: Ace Your Exams
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A 27-year-old woman, G1P0, at 39 weeks gestational age presents to labor and delivery with regular, painful contractions. The pregnancy has been uncomplicated. Past medical history is significant for asthma. Vitals are within normal limits. Over a two-hour triage, the cervix changes from 2 cm to 4 cm dilation, and the patient is admitted to the hospital in labor. The birth plan outlines the patient's fervent desire to avoid pharmacological interventions that involve needles, due to an intense fear of needles. Her doula helps with relaxation techniques along with aromatherapy. Shortly after admission, the patient notes a large gush of fluid, and testing confirms the rupture of membranes. On recheck, the cervix remains at 4 cm. After rupture of membranes, the contractions significantly increase in intensity, and she requests pharmacological pain management. Which of the following is the best pain management strategy at this time?
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