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___________ may explain why women in labor often need smaller doses of an analgesic or anesthetic than might be expected during a similarly painful experience.

a) Hormonal changes

b) Increased pain tolerance

c) Nervous system adaptation

d) Psychological factors

1 Answer

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Final answer:

Hormonal changes, particularly the increase in oxytocin levels and the positive feedback mechanism during labor, may explain the need for smaller doses of analgesics or anesthetics for women in childbirth.

Step-by-step explanation:

During childbirth, hormonal changes may explain why women in labor often need smaller doses of an analgesic or anesthetic than might be expected during a similarly painful experience. This period is characterized by high levels of oxytocin, which not only causes contraction of the uterine wall muscles but also can potentially have an impact on pain perception. Additionally, labor involves a positive feedback mechanism, where the release of oxytocin leads to more contractions, which in turn stimulates the release of more oxytocin from the pituitary.

Labor is the physical effort to expel the fetus and the placenta from the uterus, a process that engages several organ systems and is driven by the coordinated action of hormones like oxytocin and prostaglandins. The medicalization of childbirth has led to an increase in the use of medical interventions for pain management, though research has suggested that social support can be as effective as medical support in alleviating pain and anxiety during labor.

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