Having a baby - one of the most important moments in the life of every woman.Most of all she is afraid of pain: that from my own experience of previous births, or from stories of friends.
Therefore, preparation for childbirth, mother usually tries to gather as much information selects the hospital, met with the doctor chooses Medicated Pads, etc.
Indeed, pain during childbirth is one of the most intense.Mum, where medically recommended Caesarean section, worried that all will be fine with the baby, while she will be under anesthesia.But there is an alternative to the traditional method of anesthesia - talking about epidural anesthesia.
better for mother and child.What is an epidural?
The nerves of the spinal cord placed around it in the epidural space.During the epidural is in place and injected a substance that blocks the sensitivity of nerve endings.Human remains in mind for this kind of anesthesia.Contrary to popular belief, this procedure does not affect the spinal cord itself.When professional hard shell carrying the spinal cord remains intact.
In some cases, doctors use this method?
today use general anesthesia and regional - spinal or epidural - anesthesia techniques.Each of them has its own indications and contraindications, benefits and risks.For epidural use during cesarean delivery (then called epidural analgesia), gynecological surgery, traumatology, urology, in operations on the spine, even myocardial infarction.
How is the procedure of epidural anesthesia?
procedure is performed on the lower back.A woman is sitting or lying on its side.To a less painful procedure was first carried out an injection of local anesthesia.Then in the epidural area introduced a special needle, put the catheter through which the pain medication for the required time.The technology enables to change the dose of the anesthetic and adjust it if necessary.
Advantages of epidural anesthesia for caesarean section
First of all, it's much better for the baby.During general anesthesia during caesarean section, we can not give narcotic drugs until pinching the umbilical cord, so the anesthesiologist can not give a 100% guarantee that a woman will feel nothing.Only after the umbilical cord is pinched deepening of anesthesia to the third stage.However, even at these first stages of anesthesia, especially when for some reason the process is delayed, for example, if it is not the first caesarean section and doctors are longer to the fetus, it is also under the action of the drug.When epidural anesthesia concentration of drug that gets into the blood, so insignificant that does not cause toxic effects on the newborn.
kid avoids anesthetic depression and is born with normal breathing, tone, heartbeat and other important vital signs.Simultaneously there is an adequate, nearly one hundred percent pain relief lower body pregnant woman, and the woman staying in the mind can experience firsthand the birth of the child immediately after the birth of a baby can kiss him, hug.Next - on request - a woman can sleep or just to talk to the anesthesiologist.In addition, the patient quickly gets out of the anesthetic, most activated, begins to eat.
Epidural analgesia used during labor
To this must also be medically indicated.Sometimes during physiological birth, when the process with some reason delayed (and every woman has a pain threshold) and analgesics and spazmalitiky do not help, epidural analgesia allows you to remove the unbearable pain that may eventually turn into an unpleasant association with the birth of a child,and sometimes even cause fear of a desire to give birth again.
Modern anesthetics have no effect on generic activities, conversely, removing the pain and fear, help a woman relax and concentrate on the battles, accelerate the process of birth, which reduces the suffering of a child.
Do I need a woman's consent to the use of such anesthesia?
This is the main condition.Only after a thorough explanation of all the benefits and possible risks and complications of different methods of anesthesia, the woman herself makes the choice.
Possible risks and complications of epidural anesthesia
About advantage of this anesthesia, we talked.And what are the possible risks and complications?
First of all, there is always a risk of getting incomplete information about the state of women's health, the possibility of allergic reactions.Likely headaches, back pain, all this doctor tells the patient before surgery.However, I want to note that in general anesthesia significantly greater risk of complications.
Contraindications to the use of epidural analgesia?
Absolute contraindications are inflammatory changes or infection in the area of the intended puncture, shock, hypersensitivity to local anesthetics, eclampsia.The relative contraindications may be deformation or other changes of the spine, diseases of the central nervous system or peripheral arterial hypotension (low blood pressure), blood clotting etc ..
it possible to apply such a pain relief for patients with diabetes?
It is clear that the disease is difficult to carry out anesthesia, but when the patient is conscious, it is much easier to control her condition, to avoid coma.
Articles Source: nemezolda.ru
