Inhaling painkillers through a mask used to be a common and popular way to relieve labor pain in Germany. Laughing gas (nitrous oxide) was generally used for this purpose. It is given together with oxygen – a combination known as “gas and air.” Although this approach is still common in some other countries, it is very rarely used in Germany nowadays because it is not as reliable as other pain-relieving drugs. One advantage, though, is that women can regulate how much they inhale. Laughing gas has a rapid effect, but it also wears off quickly. It may cause nausea , vomiting , drowsiness or dizziness .
Dr. La Folette: I don't need anything, but I'm about to, I'm telling you, there's gonna be a flood, guys. Here we go. Here it is. I told ya. Nice work. Okay, here we go. So that is nice clear fluid, and the baby is right here. Perfect. And I feel no cervix. Yeah, you okay?
Jackie, you have at least an hour, probably. You might have two if you wanna labor down. Certainly, we'll reconvene at 6:30.
So imagine what's happening, right? So the head is basically, it's under the symphysis, right? But you really are coming this way first. And then at the end, you'll see the baby come this way.
Radiculopathy occurs when something irritates a spinal nerve—say a “slipped disc” causing a pinched nerve. This is also called sciatica . There are resident stem and other cells in the local tissues everywhere in our body. Many live around blood vessels. These are obviously also present in the disc and nerves in the epidural space and they usually play an important role in suppressing inflammation and repairing damage. We know, based on a copious in vitro (lab) data, that the high-dose steroids used in epidural injections can kill these cells. So the progression of the series of epidural steroid injections looks a little something like this: