Up to 30% of women experience severe back pain in labour. In qualitative studies women have described how labour back pain limited their mobility and altered their plans for analgesia use. Injections of small amounts of sterile water into the skin of the lower back are used to alleviate back pain for up to two hours. Whilst much research supports the effectiveness of the technique critics suggest a placebo effect or dismiss the procedure as ‘midwifery voodoo’. This presentation will examine the causes and physiology of back pain in labour, examine and critique the research into sterile water injections and describe the techniques, benefits and limitations for use in clinical practice.
Learning Objectives:
Objective 1: Identify risk factors for back pain in labour;
Objective 2: Describe the physiology of back pain in labour;
Objective 3: Discuss the research surrounding the use of sterile water injections; and
Objective 4: Describe the procedure and techniques for using sterile water injections in labour.
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