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Childbirth

Share experiences and get support around labour, birth and recovery.

Bans on Gas & Air!

154 replies

1stWorldProblems · 26/02/2023 23:54

Saw this in the Sunday Times today but don't have a share token so here's the same story from the BBC Ban on Gas & Air. I'm not advocating dangerous working conditions for medical staff but felt parents should know that this is another thing that might not fit your birth plan - a number of hospitals have withdrawn gas & air as a pain relief option. As someone who depended it on for both my births, I think other parents should be aware of this change.

OP posts:
hryllilegur · 27/02/2023 08:01

It’s terrible that this is being framed as some sort of HCPs v women in labour issue.

The actual issue is that the hospital management have failed to ensure they have the right equipment and facilities to enable labouring women to access gas and air while maintaining safe air for everyone else in the womb.

It’s what happens when investment is
insufficient. Staff have been exposed to
unsafe air for who knows how long, so that means the option has been withdrawn for patients. For who knows how long.

But, it is actually the right choice. The real
scandal is actually the unsafe air staff have routinely been exposed to. That’s completely unacceptable.

MotherofBingo · 27/02/2023 08:04

I hated the gas and air, so much so that I refused it and ended up going through labour and delivery (including an episiotomy and forceps) with no pain relief at all, i believe they may have numbed me locally for the episiotomy. It's certainly not an experience I'd want other women to go through though. The NHS should be ventilating the delivery rooms adequately and removing the risk to midwives, they won't do that though, it's also going to be very difficult to provide more epidurals or more c-sections meaning more women will have to labour without adequate pain relief or have to use options such as pethidine which carries more risks.

Sleepyquest · 27/02/2023 08:08

Anyone reading this and panicking. I found gas and air to not really have an effect on my pain. It just gave me something else to concentrate on. I thought I was going to break my teeth on the mouthpiece. So don't think to yourself that no gas and air means a traumatic birth. There are other options!

Side note I was also given paracetamol to begin with 🤣

RichardHeed · 27/02/2023 08:10

It’s good to know I was too stupid for gas and air to have an effect according to PPs 😂

OttersMayHaveShiftedInTransit · 27/02/2023 08:11

TheLadyofShalott1 · 27/02/2023 01:28

Well it is a long time since I had my babies, and broke my leg, but to those of you who say that Entonox is useless, I have to suggest to you that you weren't breathing it in properly. I know that many things can be down to personal opinion, but with chemical and biological reactions, I thought that the results were well acknowledged and documented.

Of course, even if that is so, things like someone's size, their lung capacity, the health of their lungs and the state and quality of the different elements of one's blood, along with the efficiency of their hearts, could all have some affect on the absorption in the body of the gas (Nitrous Oxide) and the air (Oxygen) (50% of each make the gas and air mixture, Entonox). However, even taking into account all of those differentials in each person's body, unless you were not breathing the gas and air mixture all the way into your lungs, it had to have some affect on you.

I must have been breathing it in properly, because I bloody loved the stuff - I had my first baby because I wanted a baby, but I had the others, and broke my leg, because I wanted the Entonox! But in all seriousness, has the Entonox really been causing miscarriages and fertility problems in midwives for at least the last 50 odd years, and if it has, why has it taken so long for "them" to realise what was causing the problem?

I do think that if Entonox really is the problem, has something like it's delivery to the mums to-be had any drastic changes for "them" to only be aware of the dangers more recently? If it is just a matter of needing better ventilation in the labour wards and delivery rooms, surely that can be implemented very quickly, as there are already many other instances where fresh and clean air is of paramount importance, so the mechanisms for providing that are very well established.

Gas and air doesn't work for me because after one puff I vomit copiously not because I don't know how to breathe 🙄

MotherofBingo · 27/02/2023 08:12

OttersMayHaveShiftedInTransit · 27/02/2023 08:11

Gas and air doesn't work for me because after one puff I vomit copiously not because I don't know how to breathe 🙄

This!

KillingLoneliness · 27/02/2023 08:13

I know everyone deals with pain differently but there’s other way to cope though labour without gas and air and the health of the staff is far more important and it’s a good thing this has all come to light as I had no idea that it was causing so much damage to workers until now.

KillingLoneliness · 27/02/2023 08:16

OttersMayHaveShiftedInTransit · 27/02/2023 08:11

Gas and air doesn't work for me because after one puff I vomit copiously not because I don't know how to breathe 🙄

Same! I thought the stuff was awful when the midwife gave it me and I felt sick!

AllOfThemWitches · 27/02/2023 08:21

I've had gas and air, pethidine and nothing and every labour/birth was equally painful. Anyone who says they 'can't cope' without, well, if you're about to give birth you don't have a lot of choice?

JustHereWithMyPopcorn · 27/02/2023 08:41

So presumably they will be banning it's use entirely from all hospitals for any purposes not just for labouring women, and also banning it from ambulances and other places where it is used?

JustHereWithMyPopcorn · 27/02/2023 08:46

Sleepyquest · 27/02/2023 08:08

Anyone reading this and panicking. I found gas and air to not really have an effect on my pain. It just gave me something else to concentrate on. I thought I was going to break my teeth on the mouthpiece. So don't think to yourself that no gas and air means a traumatic birth. There are other options!

Side note I was also given paracetamol to begin with 🤣

I agree with this, I used gas and air on DS2 after a two day induced labour while waiting endlessly for an epidural. It didn't take the pain away but did distract from the pain enough for me to not go on a muderous rage hunting down the anaesthetist! 😂 I was also given paracetamol prior to this after two days of continuous labour and nothing else offered to help with that or the endless painful internal examinations.

ouchmyteeth · 27/02/2023 08:47

AllOfThemWitches · 27/02/2023 08:21

I've had gas and air, pethidine and nothing and every labour/birth was equally painful. Anyone who says they 'can't cope' without, well, if you're about to give birth you don't have a lot of choice?

By not cope I mean find the experience a lot more traumatic and distressing. Inadequate pain relief for my first birth was definitely a big factor in subsequent birth trauma and PND.

hryllilegur · 27/02/2023 08:55

JustHereWithMyPopcorn · 27/02/2023 08:41

So presumably they will be banning it's use entirely from all hospitals for any purposes not just for labouring women, and also banning it from ambulances and other places where it is used?

Well, that is a question worth exploring.

it may be that the issue is particularly acute on labour wards because it’s used so much more frequently than elsewhere of course.

or it may be related to the crappy facilities in labour wards and birthing suites. Or some mix of many things.

It may not (only!) be that labouring women aren’t viewed as important. But it would be interesting to know what the air quality differences are and what contributes to this.

elodiesmith · 27/02/2023 09:07

Can anyone please respond if they know the answer?

Why was I not offered gas and air?

I had to have a vacuum delivery, an obstetrician can to come in and do it, sounds like it had to happen pretty fast.
I got second degree tears and no pain relief, it was horrific. Obstetrician knew my birth plan was minimum pain.

I felt too shy to ask but I still wonder - why didn't they offer me gas for pain? He knew I would get torn with no pain relief.

C8H10N4O2 · 27/02/2023 09:19

hryllilegur · 27/02/2023 08:01

It’s terrible that this is being framed as some sort of HCPs v women in labour issue.

The actual issue is that the hospital management have failed to ensure they have the right equipment and facilities to enable labouring women to access gas and air while maintaining safe air for everyone else in the womb.

It’s what happens when investment is
insufficient. Staff have been exposed to
unsafe air for who knows how long, so that means the option has been withdrawn for patients. For who knows how long.

But, it is actually the right choice. The real
scandal is actually the unsafe air staff have routinely been exposed to. That’s completely unacceptable.

Its the standard routine of pitching two groups of women against each other when the real scandal is the shocking state of maternity care and services in a G7 country.

Considering how long there have been ppm standards for the gas in a work place its surprising that there isn't more in depth research and data for evidence based decisions. Obviously the cheap option is to remove pain relief options instead of upgrade the equipment or ventilation.

Oh but it only affects women making a fuss about an entirely natural process doesn't it? Not a priority in the NHS budgets, like so many women's health concerns.

Topnun · 27/02/2023 09:20

elodiesmith · 27/02/2023 09:07

Can anyone please respond if they know the answer?

Why was I not offered gas and air?

I had to have a vacuum delivery, an obstetrician can to come in and do it, sounds like it had to happen pretty fast.
I got second degree tears and no pain relief, it was horrific. Obstetrician knew my birth plan was minimum pain.

I felt too shy to ask but I still wonder - why didn't they offer me gas for pain? He knew I would get torn with no pain relief.

I'd recommend asking the hospital for a debrief, they are the only ones who can really answer and you might find it helps you come to terms with it. It sounds like you were treated appallingly which is of course absolutely unacceptable.

To a previous poster, it will be suspended in all areas where ventilation isn't sufficient or its use its prolonged. I'm not sure what ambulances to in terms of airing themselves out or if they have mandated filtration already.

LT2 · 27/02/2023 09:25

Gas and air was all I had and only during the last 20 minutes before meeting my baby! Then it was great for the stitches also. This worries me for my second birth!

AllOfThemWitches · 27/02/2023 09:34

ouchmyteeth · 27/02/2023 08:47

By not cope I mean find the experience a lot more traumatic and distressing. Inadequate pain relief for my first birth was definitely a big factor in subsequent birth trauma and PND.

Yeah, I'm lucky and had relatively 'easy' labours. I think women's experiences of labour and childbirth vary so wildly, I've all but forgotten how painful it was yet others end up literally traumatised. I don't know what the solution is though, if pain relief is banned.

skingraft · 27/02/2023 09:35

elodiesmith · 27/02/2023 09:07

Can anyone please respond if they know the answer?

Why was I not offered gas and air?

I had to have a vacuum delivery, an obstetrician can to come in and do it, sounds like it had to happen pretty fast.
I got second degree tears and no pain relief, it was horrific. Obstetrician knew my birth plan was minimum pain.

I felt too shy to ask but I still wonder - why didn't they offer me gas for pain? He knew I would get torn with no pain relief.

They attempted to remove the gas and air from me when it got to pushing so I could concentrate more on that, apparently you can push more effectively without it. I refused to give it up though.

ToriLynn · 27/02/2023 09:35

There are more pain relief options than just gas and air! I fully support the withdrawal so that midwives and doctors have safer working conditions.

DidyouNO · 27/02/2023 09:39

I gave birth twice in Germany and they don't have gas and air. There'll be plenty of alternatives.

Stroopwaffle5000 · 27/02/2023 09:39

Cherryblossoms85 · 26/02/2023 23:58

Tens machines actually work better imho.

Tens machines didn't work at all for me, I was still in agony!

skingraft · 27/02/2023 09:40

ToriLynn · 27/02/2023 09:35

There are more pain relief options than just gas and air! I fully support the withdrawal so that midwives and doctors have safer working conditions.

Hopefully they will work things so other forms of pain relief are more accessible than they currently are

Stroopwaffle5000 · 27/02/2023 09:45

I bloody loved gas and air, it was amazing at dealing with the pain and chilling me out

diddl · 27/02/2023 09:54

Stroopwaffle5000 · 27/02/2023 09:45

I bloody loved gas and air, it was amazing at dealing with the pain and chilling me out

It worked for me too.

I dozed off for about half an hour!

Well I suppose if I hadn't been offered it I would never have known.

What I liked about it was me using it as & when I wanted to.

What else is used in the same way?

Epidural was never an option for me.

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