Debbie, I used TENS for the birth of my third child.  I purchased the unit myself and asked a physio to show me the best placement for the pads.  My OB didn't voice an opinion and the midwife who cared for me during my two hour labour said she had not seen TENS used before.  For me, TENS worked brilliantly.  Annie
----- Original Message -----
Sent: Tuesday, May 07, 2002 6:22 PM
Subject: Re: nitrous oxide

In a message dated 5/7/02 3:52:00 PM W. Australia Standard Time, [EMAIL PROTECTED] writes:


I know this is a little off topic, but I'm a BMid
student originally from the US, where nitrous oxide is
not used in birth presently & from what I know, has
not been historically.  There are obviously studies
that show that it can have a negative impact on babies
later in life, but similar arguments can be made for
Demerol/pethedine, epidural anethesia, etc & those are
all widely used.

But specifically concerning nitrous oxide, does
anybody know why it's used so widely in Oz & the UK,
but not at all in the US? 


To be honest - I don't know why it used historically in the UK.  Entenox is widely given when pain management is needed, for example, after car accidents and the like -so I suppose that it was an extension of that.  It is perceived in the UK to be "less risky" than pethidine and epidurals, and certainly most mothers (apart from those who want an epidural asap :-)) would begin labour using water or obstetric TENS machine for pain and then progress to Entenox for extra help.  Pethidine is very often discouraged these days (certainly in the hospitals that I have knowledge of in the UK) because of its side effects.  In fact some hospitals do not offer it at all, and some offer Meptid instead of pethidine.  Epidurals are usually on offer, but are not always immediately available as they require one-to-one midwifery care when a mum has one, and, sometimes the lack of staff can mean that an epidural is not available upon request.  This was my experience ! ! in the part of the UK where I worked.

I used Entenox for all of my three labours - and found it very beneficial.  I found it helped my breathing and just took the edge off.

Can anyone tell me how widely used obstetric TENS are here in Aus.  I have a feeling that it is not widely used.

Debbie Slater
CBE
Perth, WA

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