Pudendal

Given after 10 centimeters but before delivery.

Medication is injected into the nerves inside the vagina.

Local numbness for use for forceps, vacuum extractor or for repair of vaginal tears.

Effective only 80 percent of the time.

Short-acting.

Medication is injected into the perineum/skin immediately before or after the delivery.

Local numbness for performing episiotomy and suturing episiotomy or laceration.

Allergic reaction (rare).

Short acting.