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OBG · Labour: analgesia
Sample itemWhich is the most effective method of pain relief in labour?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Epidural analgesia
Epidural analgesia provides the best pain relief and does not depress the neonate. Side effects include maternal hypotension, a longer second stage, increased instrumental delivery and fever. Pethidine causes neonatal respiratory depression.
Option by option
A. TENS
TENS has limited efficacy.
B. Pethidine intramuscular
Opioids give limited relief and sedate the newborn.
C. Epidural analgesia (correct)
Correct. It gives the most complete analgesia.
D. Entonox
Entonox gives partial relief.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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