title: Pudendal nerve block for vaginal birth.
abstract: Pudendal nerve block is a safe and effective pain relief method for vaginal birth. Providing analgesia to the vulva and anus, it is used for operative vaginal birth and subsequent repair, late second stage pain relief with spontaneous vaginal birth, repair of complex lacerations, or repair of lacerations in women who are unable to achieve adequate or satisfactory pain relief during perineal repair with local anesthesia. Key to its efficacy is the knowledge of pudendal nerve anatomy, the optimal point of infiltration of local anesthetic, and an understanding of the amount of time necessary to effect adequate analgesia.
authors.forename: Deborah
authors.initials: D
authors.lastname: Anderson
mesh_terms: D000328:Adult; D000698:Analgesia / Q000379:methods*; D000779:Anesthetics, Local; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D048949:Labor Pain / Q000628:therapy*; D009407:Nerve Block; D059408:Pain Management; D036801:Parturition; D010502:Perineum / Q000294:innervation; D011181:Postnatal Care; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D060525:Pudendal Nerve
chemical_list: D000779:Anesthetics, Local
keywords: labor analgesia; labor anesthesia; labor pain management; local anesthetics; pudendal nerve block