non-pharmacological interventions such as deep breathing, effleurage, counter pressure, music,
or use of focal points, can provide the woman with a sense of control over her childbirth, help in
relieving stress and enhancing relaxation (Lowdermilk, Perry, Cashion & Alden, 2012, p. 389).
Assist the patient in changing positions frequently (side-lying position). The side lying position
promotes optimal utero-placental and renal blood flow, increases fetal oxygen saturation, relieve
pressure and promote fetal descent (Lowdermilk, Perry, Cashion & Alden, 2012, p.452). Provide
information and update the patient on her labor process, which would help alleviate any anxiety
and fears that may intensify pain. Anxiety and fear cause more catecholamine secretion which
increases the stimuli to the brain and magnifies pain perception (Lowdermilk, Perry, Cashion &
Alden, 2012, p.388). Throughout labor, patients experience pain even though she had an
epidural. They need support throught the process as they start a new chapter in their life. Nurses
are in the perfect position to offer the support needed and to educate new mothers about what to
expect and what to watch for. Education will focus on 2 sections: maternal and baby.
