A nurse should be aware that an effective plan to achieve adequate pain relief without maternal risk is most effective if:

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Current evidence indicates that a woman's satisfaction with her labor and birth experience is determined by how well her personal expectations of childbirth are met and the quality of support and interaction she receives from her caregivers.The assessment of the woman,her fetus,and her labor is a joint effort of the nurse and the primary health care providers,who consult the woman about their findings and recommendations.The needs of each woman are different,and many factors must be considered before a decision is made whether pharmacologic methods,nonpharmacologic methods,or a combination of the two will be used to manage labor pain.Although the predominant medical approach to labor is that it is painful,and the pain must be removed,an alternative view is that labor is a natural process,and women can experience comfort and transcend the discomfort or pain to reach the joyful outcome of birth.The provider should collaborate with the mother and her support persons as to the ideal plan to achieve adequate pain relief.The most helpful interventions in enhancing comfort are a caring nursing approach and a supportive presence.Discussing options for nonpharmacologic methods of pain relief is also helpful.Ideally this is done prior to the onset of labor.

A Nurse Should Be Aware That an Effective Plan to Achieve