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4 Cards in this Set

  • Front
  • Back

Pain pathways in labour first stage

Cervical dilatation, lower uterine segment dilatation and uterine contractions.


A delta and C fibers -> SNS nerves -> sympathetic chain (T10 L1 dermatomes)


Cervical pain from PSNS pelvic splanchnic nerves (s2-3)


Labor pain second stage

Pain localised to perineum


Somatic pain from perineal stretching and tearing


A delta fibers mostly -> pudendal nerve -> s2-4 nerve roots

Labour pain third stage

Same as second stage but less intense

Other pain pathways in Labour

Ilioinguinal, genitofemoral, perforating branch of posterior cutaneous nerve of the thigh