Respiratory

As labor pain becomes severe, the unmedicated patient's minute ventilation increases by >75% in first stage and 150-300% during second stage of labor. This results in maternal hypocarbia and alkalosis. These changes lead to uteroplacental and fetoplacental vasoconstriction and a leftward shift of the maternal oxyhemoglobin dissociation curve, potentially resulting in fetal hypoxemia. Effective regional analgesia will markedly diminish maternal hyperventilation. Oxygen consumption increases by 40% in stage 1 and 75% in stage 2. This is attenuated, but not eliminated by regional analgesia. Parenteral opioid administration does not effectively prevent hyperventilation, in contrast to regional anesthesia. Most mothers and fetuses are not adversely affected by the respiratory changes occurring with labor. However, in patients with marginal uteroplacental function effective regional analgesia may be advantageous.

Eliminating Stress and Anxiety From Your Life

Eliminating Stress and Anxiety From Your Life

It seems like you hear it all the time from nearly every one you know I'm SO stressed out!? Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.

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