John M. Freedman MD


Local Anesthesia for Childbirth

Local anesthesia for childbirth is most commonly given as a shot that numbs the area around the vagina just before an episiotomy is done. An episiotomy is a cut made in the tissue between the vagina and anus just before the baby’s head starts to emerge. (The tissue is called the perineum.) The cut makes the vaginal…

Childbirth: Pudendal and Paracervical Blocks

Pudendal block To relieve pain associated with the second (pushing) stage of labor, an injection called a pudendal block can be given through the vaginal wall and into the pudendal nerve in the pelvis, numbing the area between the vagina and anus (perineum). Pudendal blocks do not relieve the pain of contractions. A…

Childbirth: Pudendal and Paracervical Blocks

Pudendal block To relieve pain associated with the second (pushing) stage of labor, an injection called a pudendal block can be given through the vaginal wall and into the pudendal nerve in the pelvis, numbing the area between the vagina and anus (perineum). Pudendal blocks do not relieve the pain of contractions. A…

Childbirth: Epidurals

Epidural anesthesia is an effective form of childbirth pain relief. Epidural anesthesia is the injection of a numbing medicine into the space around the spinal nerves in the lower back. It numbs the area above and below the point of injection and allows you to remain awake during the delivery. It can be used for either…