Pain Management Options for Labor and Delivery

At Mile Bluff, we understand that every labor experience is unique. We are proud to offer a range of pain management options, both non-medicated and medicated, to help you feel supported and comfortable throughout your birth experience. You and your provider will work together to choose the approach that best aligns with your preferences and medical history.

Non-Medication Pain Relief Options

While these methods don’t eliminate contraction pain, they can help you relax and better manage labor sensations:

• Deep breathing techniques
• Walking and changing positions
• Massage therapy
• Heat and cold packs (especially for back pain)
• Listening to music
• Aromatherapy
• Water immersion
• Birthing and peanut balls
• Rocking chairs

These comfort techniques can be used alone or alongside medication, depending on your needs and how your labor progresses.

Medication and Anesthesia Options

We also offer several medication-based options for managing pain. Your provider will help you decide which is most appropriate based on your stage of labor and medical background.

Nitrous Oxide (Laughing Gas)

Nitrous oxide is inhaled through a mask that you hold to your face during contractions. It provides short-term pain relief and is commonly used during early labor.

• Pros: Fast-acting; clears your system quickly after you stop inhaling; you're in control of when and how much you use.
• Cons: Not long-lasting; may not be suitable for those with low B12 levels or those following a vegan lifestyle.

IV Pain Medication

This medication is administered through an IV and helps reduce the intensity of contractions for a limited time.

• Pros: Works quickly and may help you relax or rest between contractions.
• Cons: Typically cannot be used later in labor due to potential risks to the baby if administered close to delivery.

Epidural / Intrathecal Anesthesia

A small, flexible catheter is inserted into the epidural space in your lower back. Medication is delivered through the catheter, providing strong pain relief from the waist down. The needle used to insert the catheter is removed immediately afterward.

• Pros: Often the most effective method of pain relief; helps relax pelvic muscles, which may assist in the baby’s descent.
• Cons: Limits mobility—you will need to remain in bed and may need help repositioning. It can sometimes cause temporary drops in blood pressure or affect the baby's heart rate. In rare cases, side effects such as headache or back pain may occur. It may also slow labor slightly.

Note: Epidurals are usually recommended once you're in or approaching active labor.

For more information or to discuss your preferences, talk to your provider during a prenatal visit. We’re here to help you make informed decisions and create a birth experience that’s right for you.