Assist the patient into a semi-Fowler posture, check the fetal heart rate, start a 500 mL IV bolus, and give oxygen via a face mask to the patient.
An epidural needle is inserted between two vertebrae in the cervical, thoracic, or lumbar spine to access the epidural space during epidural anesthesia or analgesia.
To reach the epidural space, the needle must pass through numerous layers of tissues.
Coverage of the dermatomes from T10 to L1 is required for appropriate pain reduction during the first stage of labor; during the second stage of labor, analgesia should extend caudally to S2-S4 (to encompass the pudendal nerve).
The most frequent epidural implantation occurs at the L3-L4 interspace in patients who are in labor.
The epidural injection site will be numbed by the physician anesthesiologist, which could result in a brief stinging or burning sensation.
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