Labour Pain Service

Labour Pain Service (LPS) Labour Pain procedures is a program which seeks to minimise labour pain during normal delivery. The concept of painless delivery is hoped to decrease the high occurence of caesarean section. Though the C-section operation is done while the mother is unconscious, the post operative complications are unavoidable and irritation persists for a long time. In this project an experienced lady anaesthetist has been appointed as the monitor. Professor Dr. Schneider, President of the Anaesthesiology Society of Switzerland and paediatrician Dr. Chandon Chattopadhyay came to India to visit various hospitals and other medical establishments with the officials of S. B. Devi Charity Home. They organised seminars in several different hospitals and planned to continue the LPS programme. This study is currently at the planning stage and Behala Balananda Brahmachari Hospital has been selected to start this programme. Objectives To establish Obstetric Pain Services in the maternity ward of a Charitable and Government Hospital. To provide Obstetric Pain Services to pregnant women of low socio-economic status at minimum cost. To train anaesthetists, gynaecologists, midwives and nurses in the use of Obstetric Pain Services . To monitor and assess the quality of the provided services. To promote Obstetric Pain Services in more Hospitals and Maternity Homes. To assure the sustainability of the established Obstetric Pain Services by implementing a self financing strategy. Criteria of Painless Labour Good Analgesia Safe for mother and baby Of predictable efficacy Easy to administer Should not interfere with uterine contractions Sense of control by mother	Equipment needed Epidural set with drugs Syringes – 10c.c.(x 2), 5 c.c.(x 1) Bowl, gauzes, sponge forceps Antiseptic lotion, sterile dressing and draping NS Basic monitoring (s) Suction, tipping trolley Resuscitation drugs and equipments Procedure Intravenous infusion started, instruments checked Where ~ L 3-4, L 4-5 (sitting) Catheter ~ 3-4 cm in epidural space Time taken ~ 10-15 min (approx.) Monitor ~ BP, Pulse, SpO2, Respiration, CTG, Progress of Labour

LPS Behala Balananda Brahmachari Hospital visit	Check up of mother at BBB Hospital

Mother and newborn child at BBB Hospital	LPS BBB Hospital visit

Checking the unborn child	BBB Hospital maternity ward