Study shows potential for 'cracking' technology to reduce environmental impact of nitrousoxide used during labor
painkiller in the UK, and is available in all birth settings. Thus, any intervention that reduces nitrous oxide release into the atmosphere has the potential to significantly reduce the environmental impact of this medication.
In this quality improvement project, based on environmental monitoring and staff feedback, the authors assessed the impact of nitrous oxide cracking technology in the maternity setting. Nitrous oxide levels were recorded during the final 30 minutes of uncomplicated labor in 36 cases. In the first 12 cases, readings were taken without the use of the technology to establish a baseline.
The authors say,"Given that a similar magnitude of reduction in nitrous oxide levels was seen with mouthpieces and low-profile facemasks, we suggest that pregnant women should be offered the option of either device when cracking is used. Education for pregnant women and choice in use of device is vital given the high degree of cooperation required [for the successful use of the technology], and this is consistent with guidelines for choice and personalized care in maternity services.
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