Abstract
A 29-year-old woman, G1P0, and at 39 + 6/7 weeks estimated gestational age, ruptures her membranes at home at 03:45 and is admitted to Labor & Delivery at 05:35, since there are no beds available in the Maternity Center. The patient is healthy and plans to deliver in the Maternity Center since it offers the care of certified nurse midwives and yet has easy access to hospital-based obstetric and neonatal care if needed. The Maternity Center offers alternatives to pain medication in labor, such as walking, hydrotherapy, birthing stools, birthing balls, breathing techniques, massage, and music. Should the need arise, intravenous fluids and pain medications are available and the patient can easily be transferred to the obstetric Labor & Delivery service if she finds that the pain of labor is too challenging. The midwives of the Maternity Center are proud of their practice, which has a low rate of cesarean delivery and many enthusiastic advocates.
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Archer, T.L. (2020). High Spinal. In: Archer, T. (eds) Obstetric Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-030-26478-9_9
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DOI: https://doi.org/10.1007/978-3-030-26478-9_9
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