Pain Relief At Birth: Method An Epidural
I have received a lot of questions from women near the due date about the issue of "pain-free birth", so I wrote this article to answer some questions for you who are interested.
What is "birthless"?
During labor, the uterus will contract to open the cervix, pushing the fetus lower and causing pain. Each person's pain threshold is different, so the perception of labor pain varies from person to person. However, the vast majority of pregnant women think that this pain is very painful and unbearable. The pain of labor does not have any beneficial effects at all, it is just an unwanted effect of uterine contractions, even many women because of pain so screaming, rolling leading to fatigue and exhaustion. .
There are many methods to reduce labor pain, the "epidural anesthesia" method is most commonly used because of its safety and effectiveness. Most obstetric hospitals use this method for pregnant women
The following article is about this method.
What is epidural numbness?
As a regional anesthetic, it reduces perceived pain that comes from one area of the body. Epidural numbness blocks the nerves coming from the lower part of the spine, losing the pain of the lower half of the body.
During labor, when you have an epidural, you will lose part of the pain sensation of uterine contractions. You are still awake, still moving but unable to walk safely. You can still push birth.
How is epidural numbness performed?
You will lie on your side, or sit with your waist as curved as possible
They will put a needle through the skin (which may be a little painful, but try to avoid repositioning during the procedure) to the epidural area. The doctor will insert a catheter (small flexible tube) through the needle just to inject the drug continuously into the epidural area. The catheter is fixed by gluing to your back. You can lie on your back without affecting the catheter position.
Before the procedure you will be given intravenous fluids, during and after the procedure you will be monitored for blood pressure, the fetus will be through a mornitor (continuous monitor cardiac fetus).
The catheter will be removed when you are born. If you have a cesarean section, the anesthetist may inject additional medicine into the catheter to perform pain relief during and after the cesarean section.
The best time for epidural numbness during labor
In the past, people only performed epidural numbness during labor during the active stage (when the cervix was 4cm open).
However, studies have shown that earlier epidural anesthesia does not change the rate of prolonged labor, caesarean section or delivery when compared to late epidural anesthesia. Therefore, you can do it sooner without affecting the outcome of the birth. The indication of which period to work depends on the hospital.
Benefits of epidural numbness for pain during labor
The dose and duration of pain relief can be adjusted to accommodate different labor cycles.
You no longer feel pain so you can rest, even sleep, while the uterus and cervix open. You will have more energy to push.
Unlike anesthesia, only a small amount of medication can reach the baby.
If you have a cesarean section, the anesthetist may inject additional medicine into the catheter to perform pain relief during and after the cesarean section.
Disadvantage of epidural numbness
You must remain in the position for 5-15 minutes during the procedure. You must wait 5-20 minutes for the medication to work
The medicine will partially erase the sensation in the leg so you may not stand or walk even if you can still move your foot
Epidural numbness tends to prolong the labor period (the period of pregnancy). To reduce this, your doctor will reduce the dose of pain medication so that you can feel more and push better; Of course feeling the pain will be more
Epidural numbness slightly increases the rate of instrumental delivery
In some cases, after epidural numbness, the level of pain relief is minimal, or only one-sided pain relief
Drugs used in epidural numbness may temporarily lower your blood pressure, which reduces the fetal heart rate. This phenomenon usually recovers itself or by rapid infusion without causing serious harm to you and your baby
Other less common side effects include: itching, vomiting, fever, difficulty urinating. Infection or nerve damage at the injection site is rare
After epidural numbness, about 1 in 100 women has a headache, caused by a CSF leak.
Does epidural numbness affect the fetus?
Most studies have shown that epidural numbness to reduce pain during labor does not adversely affect the fetus. In cases of prolonged labor, mothers' babies with epidural numbness have better outcomes than babies of mothers who do not have epidural anesthesia.
Can anyone have an epidural?
Epidural numbness may occur in most patients.
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