We use Diamorphine at our trust, I'd be interested to read your findings as our trust replaced Pethidine for DIamorph due to (so I've been told) lower halflife and no resp depression in baba even if given close to birth.

It seems to be used mostly when women are tired & stressed out with prolonged latent phase and really just need a break, some sleep.

If we were able to keep them relaxed & calm with peaceful, continuous midwifery care in a relaxing environment the diamorph might be unneccessary but in the busy, clinical setting it seems to serve a purpose.

Haven't had it myself but heard it described as not taking the pain away as much as just removing the awareness of the pain... its still there but you couldn't be bothered with it idea. Have no idea whether this is a true assessment (and who would ever know as its so subjective AND everyone reacts differently anyway.

Good luck with the assignment, would love to pick your brains on it when its done.