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Old 28.04.2011, 17:15
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Ultiva as labor pain relief - anyone heard of it?

Hello all!

Went today for my pre labour consultation and the midwife told me there is a new pain relief called Ultiva which can be self administered via catheter during labour and delivery.

Was not there when I had my first child and am trying to find infos about it.

Have started the google search and printed a few things to read but thought to ask here as well if anyone has heard or tried it

Thanks

K
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Old 28.04.2011, 22:11
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Re: Ultiva as labor pain relief - anyone heard of it?

http://en.wikipedia.org/wiki/Remifentanil

I'm guessing it's just a newer generation opioid - very fast acting. Administered in tiny doses. By 'catheter' they mean that they will tap it into the IV line that they will probably put into your hand or arm.

I guess the risks are similar to pethadine, which I had with my first labour - possibility of slowing the baby's heart rate, stressing the baby, and in my case, mother hallucinating and completely 'out of it' for about 2 hours...

Sure, it gave me a rest, whilst we waited for the anaesthetist to be ready to do an epidural...

On the 'personal opinion' side of things I guess you can just line it up alongside all the other pain relief options. I had two epidural births and one non-medicated birth, and I don't regret any of them...I felt informed, in control of the choices, well supported and had no major complications, but let's just say I'm a lot more wary of taking heavy painkillers
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Old 02.05.2011, 09:34
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Re: Ultiva as labor pain relief - anyone heard of it?

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http://en.wikipedia.org/wiki/Remifentanil

I'm guessing it's just a newer generation opioid - very fast acting. Administered in tiny doses. By 'catheter' they mean that they will tap it into the IV line that they will probably put into your hand or arm.

I guess the risks are similar to pethadine, which I had with my first labour - possibility of slowing the baby's heart rate, stressing the baby, and in my case, mother hallucinating and completely 'out of it' for about 2 hours...

Sure, it gave me a rest, whilst we waited for the anaesthetist to be ready to do an epidural...

On the 'personal opinion' side of things I guess you can just line it up alongside all the other pain relief options. I had two epidural births and one non-medicated birth, and I don't regret any of them...I felt informed, in control of the choices, well supported and had no major complications, but let's just say I'm a lot more wary of taking heavy painkillers
Thanks for reply...

My first birth was very fast so no chance of epidural, likely also to happen with the second so they proposed this option...

When I read side effects it scares me... but then again the pain also scares me, especially now that I know what it is like

Will talk to gyne to try understand more at next check up as it seems to be realitely new and the Hirslanden group is sort of one of the first to offer it.

Guess in the end I can get it set up and then choose whether to push the button or not

Thanks for help!

Ciao
K
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Old 02.05.2011, 10:45
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Re: Ultiva as labor pain relief - anyone heard of it?

If you are typically sensitive to medications, I would be really careful with this. Swisspea's experience of being completely zonked out for two hours would not combine well with your quick birth history!! So, like you said, if you get it all set up, you can just give the button one push and see how it goes. Maybe one dose is all you'll need!
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Old 02.05.2011, 11:48
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Re: Ultiva as labor pain relief - anyone heard of it?

Looks like an anesthetic: http://www.ultiva.com
Probably then a local administration into epidural line?
I would do a bit more Googling to find out more if I were you.

You should know that I am one of those annoying people who goes on about having had 3 kids without a drop of anything. AND they were 2 x 4kg and 1 x 5kg!!!

But massive babies aside, I have always been very wary about the drug administration for the reasons stated above; in case of affect on the baby. I've never been worried if I am drugged up to the eyeballs, more the issues if baby's heart rate can drop.

With my first birth my husband recalls the experience of seeing baby's heart rate keep dropping with each contraction and telling me to breathe DEEP for the baby. I was so zoned/centered that I had no clue what was going on, but I have heard of the same thing with epidural etc. Not an added risk I ever wanted to add.

It's tough, we are all different, pain thresholds, state of mind etc etc.
I don't envy you.
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Old 02.05.2011, 11:51
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Re: Ultiva as labor pain relief - anyone heard of it?

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Looks like an anesthetic: http://www.ultiva.com
Probably then a local administration into epidural line?
I would do a bit more Googling to find out more if I were you.

You should know that I am one of those annoying people who goes on about having had 3 kids without a drop of anything. AND they were 2 x 4kg and 1 x 5kg!!!

But massive babies aside, I have always been very wary about the drug administration for the reasons stated above; in case of affect on the baby. I've never been worried if I am drugged up to the eyeballs, more the issues if baby's heart rate can drop.

With my first birth my husband recalls the experience of seeing baby's heart rate keep dropping with each contraction and telling me to breathe DEEP for the baby. I was so zoned/centered that I had no clue what was going on, but I have heard of the same thing with epidural etc. Not an added risk I ever wanted to add.

It's tough, we are all different, pain thresholds, state of mind etc etc.
I don't envy you.
No worries, I had my first with no pain relief at all (and it was what I wanted to try) and hopefully the second will come the same way.

For me it is more about keeping options open as one never know whether this birth will be as smooth as the first or whether complications may arise!

Will for sure continue the googling, what I found so far has indeed not led me to think this is a very good option, but I would still prefer this to epidural...

More to come

K
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Old 02.05.2011, 12:14
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Re: Ultiva as labor pain relief - anyone heard of it?

They say practice makes perfect and that this applies to giving birth. I also gave an all natural quick birth (but 19 hrs labor) with my first and would gladly do it again. I suggest we worry more about the recovery in cases like ours.
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Old 02.05.2011, 13:11
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Re: Ultiva as labor pain relief - anyone heard of it?

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No worries, I had my first with no pain relief at all (and it was what I wanted to try) and hopefully the second will come the same way.

For me it is more about keeping options open as one never know whether this birth will be as smooth as the first or whether complications may arise!

Will for sure continue the googling, what I found so far has indeed not led me to think this is a very good option, but I would still prefer this to epidural...

More to come

K
Kri, you are so smart! I'm glad you started this thread as I am going to Klinik Im Park and will need to start thinking about this sort of thing in a few months. I know that I want a natural birth, but having a back-up plan and knowing your options and the inherent risks ahead of time is important. Now that you mention it, I'm really happy they have this option there. It seems like a good alternative to epidural as it is much less invasive! Thank you for starting the dialogue.
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