Labour Pain: Preparing, Pain Relief Tips & Alternatives

By Med-Fit Content Team . Last Updated Tuesday, 6th June 2023

During the process of labor and delivery, pain arises from two main factors: the contractions of the uterine muscles and the pressure exerted on the cervix. This pain is commonly experienced as intense cramping in the abdomen, groin, and back, accompanied by an overall achy sensation. Some women may also feel pain in their sides or thighs.

Additionally, pain during labor can be attributed to the pressure applied to the bladder and bowels by the baby's head, as well as the stretching of the birth canal and vagina.

It is important to note that the experience of pain during labor varies from woman to woman. It can significantly differ not only among individuals but also from one pregnancy to another.

Often, what women find most challenging is not the pain of each individual contraction, but the continuous nature of contractions. As labor progresses, the intervals between contractions become shorter, leaving less time for relaxation.

Preparing yourself for labour or help relieve pain

During Labour or Childbirth, the pains you experience are caused by contractions of the muscles of the uterus and by the pressure on the cervix. Most of the pain can be felt as strong cramping in the abdomen, back and the groin, as well as an achy feeling throughout.

TENS Machines are highly recommended by many of our customers as a fantastic method for pain relief before, and some users use it during labour. We currently do not have a Tens device that is a recommended device for labour or pregnancy currently. Our Maternity Tens Machine is a popular device amongst those looking for labour pain relief.

A TENS machine is a small, battery-operated device that utilizes mild electric currents to provide pain relief. It works by sending soothing pulses or electrical currents through the skin via pads, targeting the nerve fibers and acting as a natural pain reliever.

During labor, TENS machines effectively suppress pain signals, prompting the body to produce higher levels of its own painkillers such as enkephalins and endorphins. These soothing pulses can provide relief for a wide range of pains.

While TENS machines are commonly used to alleviate pain caused by various conditions like back pain, arthritis, nerve pain, joint pain, neck pain, period pain, sports-related injuries, and sciatica, they are also utilized as a method of pain relief during labor.
Take a lovely warm shower - Taking a warm shower during labor can be incredibly soothing. It is recommended to sit on a stool or use a seat and direct the handheld showerhead onto your back or abdomen.

The warmth of the water can help relax your body and potentially even expedite the progress of labour.
Massage can be a valuable technique for pain relief during labor. However, it's important to note that the type of pressure required for relief during labor may go beyond a traditional massage.

Communicate with your birth partner or midwife about where you would like to be massaged. For example, having your back or shoulders massaged between contractions can aid in relaxation. Providing feedback during the massage ensures that you receive the most effective relief.

A gentle and gradual approach to massage is often preferable, as frantic rubbing may cause feelings of panic rather than relaxation. Your partner can offer massages to your feet, hands, or temples, which can provide natural relaxation and a sense of care—a significant morale boost during labor. These small distractions can certainly be beneficial.
Changing positions during labor can be beneficial for pain relief and potentially shorten the duration of your labor. There is solid evidence supporting the effectiveness of upright positions and walking around.

Your midwife will be there to guide and support you as you explore different positions. Some positions are specifically designed to help cope with the early stages of labor.

Conserving energy during the early stages of labor is important, as you'll need all the energy you can muster throughout the process. While taking a short, gentle walk can help ease pain and expedite contractions, it's crucial not to overexert yourself, as you'll need ample energy for the later stages.

Other methods may include:

Distraction techniques: Engaging in activities like counting, focusing on a specific task, or practicing mental exercises can divert attention from pain and provide a sense of control during labour.
Listening to music: Playing calming or favorite music can help create a relaxing atmosphere, distract from pain, and promote a positive emotional state.
Hypnosis: Utilizing hypnosis techniques to enter a relaxed and focused state, which can help manage and reduce pain perception during labor. This type of technique has become quite popular amongst those preparing to give birth.

Pain Medication for Labour and Delivery

During labor and delivery, various pain medications can be used depending on the specific situation. Many women find great relief in using these medications, as they quickly alleviate pain and allow them to focus their energy on coping with contractions. It is important to consult with your healthcare provider to understand the risks and benefits associated with each type of medication.

Analgesics: These medications provide pain relief but do not completely numb the sensation or affect muscle movement. They can be administered through different methods, such as intravenous (IV) infusion or injections into muscles. When given systemically, they can impact the entire body. However, analgesics may cause side effects in the mother, including drowsiness and nausea, and they can also have effects on the baby.
Regional anesthesia: This is the type of pain medication most commonly associated with labor. Regional anesthesia blocks sensation in specific regions of the body and can be used for pain relief during both vaginal and cesarean section deliveries.
Epidurals: These are a form of local anesthesia that provide pain relief from the belly button downwards, including the vaginal walls. An epidural involves an anesthesiologist administering medication through a thin catheter inserted into the lower back. The dosage can be adjusted according to the woman's needs. As very little medication reaches the baby, there are usually no adverse effects on the baby from this pain relief method. However, epidurals can cause a drop in blood pressure for the mother and may make urination difficult. The mother may also experience itching, nausea, or headaches. While the risks to the baby are minimal, low blood pressure in the mother can pose some problems.
Tranquilizers: These medications do not relieve pain but are sometimes used to calm and relax women who are experiencing high levels of anxiety. They are occasionally used in conjunction with analgesics. Tranquilizers can have effects on both the mother and the baby and are not commonly used. They may also impair a woman's ability to remember the details of the birth. It is important to discuss the risks associated with tranquilizers with your doctor.

Things to possibly consider for labour and childbirth

When contemplating pain management during labor, it is important to consider the following factors:

- Pain relief limitations: While medications can provide significant pain relief, it is essential to recognize that they may not eliminate all pain entirely. The level of pain experienced during labor can vary, and it's important to have realistic expectations about the extent of pain relief medications can offer.
- Unforeseen pain intensity: Labor pain can be more intense than anticipated. It is not uncommon for women who initially planned to forgo pain medication to reconsider their decision once they are actively in labor and experiencing the intensity of contractions.
- Effects on the baby: Certain medications used for pain relief during labor can potentially impact the baby. They may induce drowsiness or lead to changes in the baby's heart rate. It is crucial to be aware of the potential effects and discuss them with your healthcare provider to make informed decisions.

By Paul Warburton . Last Updated Friday, 17th September 2021

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