Opiate Analgesia in Labour (445)
Warning
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- For all labouring women (primigravida and parous) requesting opiate analgesia the dose should be based on the woman's most recent weight as follows:
| Most recent weight (kg) | Dose of Diamorphine (mg) |
|
< 50 kg 50 to 60 kg > 60 kg |
5mg 7.5mg 10mg |
- If a woman has had a 5mg I.M. dose of diamorphine in Maternity Assessment there should be a 2 hour gap before a labouring dose is administered. If analgesia is required before this, medical staff should review the woman. A second labouring dose may be given 4 hours later if necessary. (3 doses maximum to include Maternity Assessment dose). Subsequent doses should be prescribed by medical staff.
- If a second or third dose of diamorphine, for labouring women, is required it may be given by midwife in accordance with the midwifery formulary. There should be an interval of 4 hours between doses. The repeat doses should be as described in the table above. (3 doses maximum). Subsequent doses should be prescribed by medical staff.
- If a second or subsequent dose of diamorphine has been administered 2 to 4 hours prior to delivery, the paediatric junior doctor and the neonatal nurse or midwife should be called to the delivery.