Pain management during childbirth

Pain management during childbirth is the treatment or prevention of pain that a woman may experience during labor and delivery. The amount of pain a woman feels during labor depends partly on the size and position of her baby, the size of her pelvis, her emotions, the strength of the contractions, and her outlook. Tension increases pain during labor. Virtually all women worry about how they will cope with the pain of labor and delivery. Childbirth is different for each woman and predicting the amount of pain experienced during birth and delivery can not be certain. Some women do fine with "natural methods" of pain relief alone. Many women blend "natural methods" with medications and medical interventions that relieve pain. Building a positive outlook on childbirth and managing fear may also help some women cope with the pain. Labor pain is not like pain due to illness or injury. Instead, it is caused by contractions of the uterus that are pushing the baby down and out of the birth canal. In other words, labor pain is caused by a process that has a purpose. Prior to the 20th century, childbirth predominantly happened in the home, without access to any medical interventions for pain management. Childbirth was a leading cause of death for women, and many were fearful of the process, creating a large desire for pain management. But despite the demands of female patients, little relief was offered before the mid-19th century. Chemical anesthesia during labor was first introduced in 1847, receiving support from women and reluctance from physicians. Some doctors and religious authorities argued that pain relief in childbirth went contrary to God's choice to make childbirth painful; however, others specifically disputed this interpretation. Most opposition to anesthesia, though, was framed in terms of concern about its health consequences and physical effects on labour. Anesthesia's use was popularized in 1853 by Queen Victoria's decision to use chloroform for pain relief during the birth of her eighth child.