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pudendal nerve
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To eliminate the pain of labor, spinal segments T10-L1 are anesthetized. Successful administration of anesthesia is tested by stimulating the skin on the anterior abdominal wall between the umbilicus and the mons pubis. To eliminate the pain of delivery, one may anesthetize all spinal segments from T10-S4 via a lumbar epidural block, or only anesthetize the pudendal nerve (S2-S4) by palpating the ischial spine and injecting anesthetic posteromedially (to prevent damage to the laterally positioned internal pudendal artery).
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