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Childbirth pain accompanied by varying degrees of severity. Each woman perceives pain differently, depending on mental attitude to childbirth and pain threshold. Do you need anesthesia You specifically to say in advance quite difficult.

During childbirth there are two kinds of pain. The first is related to uterine contractions and stretching of the cervix. This pain, called visceral, blunt and may not be specifically localized. It is often felt not in the place of origin, usually performed in the lower back and sacrum. The second occurs before birth and is caused by stretching of the tissue in the lower part of the birth canal during advancement of the fetus and further attempts to. This pain is called somatic, sharp and precisely localized in the vagina, rectum, perineum.

The reasons can be a painful childbirth?

  • The first birth in women.
  • Child large size.
  • Premature birth.
  • If the amniotic fluid has been poured.
  • The use of oxytocin during childbirth
  • Inadequate preparation of women for childbirth.

The best advice that will help you make the choice to give birth with anesthesia or not, spend all the necessary preparations in advance, and the decision at the last moment, just before birth. Many women give birth far less painful and unpleasant than they expected, so some people even changed the decision taken beforehand about anesthesia - it simply was not necessary. Others, on the contrary, childbirth lasts longer than anticipated, and are more painful than expected, so anesthesia is becoming a necessary measure, regardless of what decision was taken by the mother. You never know, the childbirth process, how painful they will be or what will be their length - this is the most important factors determining the use of anesthesia.

It is very important from the beginning of pregnancy to begin psychological preparation for childbirth, tune in to a favorable outcome. Great help in this can have a doctor who watches your pregnancy.

What are the different types of pain relief during childbirth?

Percutaneous electroneurostimulation. In this simple non-invasive method is electrical stimulation through electrodes attached at the waist on both sides of the spine. The use of tens provides modest pain relief and are most suitable for pain relief, conducted in the back, in the first stage of labor and in women with short birth. Not reported adverse effects for mothers and newborns.

Inhalation anesthesia is the process of inhaling the woman in labor during the fight anesthetic, usually a mixture of nitrous oxide and oxygen. This technique provides good pain relief in 50% of pregnant women.

Local infiltration anesthesia can be applied by the obstetrician in order to induce the feeling of numbness painful parts of the perineum during birth or after birth. Local anesthesia is not effective during the birth.

Regional anesthesia (epidural or spinal) used by the anesthesiologist for pain relief in labor. When these techniques of medicinal drugs are administered in the lumbar region in the vicinity of nerves to block pain in the lower part of the body. In this case, the retention of consciousness is significantly reduced or completely disappears the pain during childbirth. If necessary, caesarean section can also be used this type of anesthesia.

General anesthesia used in emergency situations during childbirth. It is developing the patient state of sleep, analgesia, muscle relaxation, and may only be used by anesthesiologist. General anesthesia is safe, but does not allow you to see your baby.

Epidural anesthesia.

EPIDURAL ANESTHESIA is the most popular method of pain relief in labor. Anesthetic ( a drug that blocks the sensitivity ) is introduced into the space under the Dura mater of the spinal cord. The "cut off" pain signals going from the uterus to the brain.

Why perform an epidural? Perform epidural anesthesia for pain relief during normal childbirth, induced labor, delivery with forceps or vacuum extraction and even for caesarean section. To learn more about an epidural, you may have an instructor of classes for pregnant women.

Most often with epidural anesthesia at the puncture site ( at the 3-4th lumbar vertebra ) is administered first, the needle and over it a soft flexible tube – the catheter, which if necessary you can add a medication, and then take out the needle.

For epidural anesthesia used drugs, well known in the dental practice: lidocaine, procaine and derivatives thereof. These drugs do not penetrate through the placental barrier, therefore, should not affect the child.

The time to initiate epidural analgesia is determined by the obstetrician and the anesthesiologist depending on the needs of the mother and child during childbirth.

Onset of action of the block gradual and slow. Anesthesia usually develops within 10-20 minutes after epidural injection and may be continued until the end of childbirth, as additional medication may be injected through the epidural catheter. After delivery the catheter is removed and a few hours later, your senses return to normal.

The procedure itself describe a variety of epithets, from "unpleasant" to "very painful". Often because of fights to the woman in labor happens very difficult to bend. Local anesthesia is more painful than the epidural needle, because at the time of insertion of the needle woman in labor already feels nothing. The majority of women feel in this moment "impetus and tingling". In rare instances the needle can hook on a nerve that causes a cramp or a sudden "shooting" pain. This is normal and does not mean that you are threatened by paralysis.

Epidural anesthesia has many disadvantages. The most common complication is a drop in blood pressure of the mother that can be a quick fix with medication or changes in posture. Other complications depression fetal malposition, increased risk of caesarean section, but they are also easily corrected. Paralysis, numbness, nerve damage, and infection of the mother is rare, but, unfortunately, not excluded.

Found that infants of mothers who received epidural anesthesia, adapt worse after childbirth. Such children sleep less, cry more, later taking the breast, and is worse than gaining weight.

Sometimes the anesthetic is a "mosaic" or one-sided. The anesthesiologist may change your position in bed or to pull the epidural catheter. Rarely you may need to conduct an epidural anesthesia. The anesthesiologist performing the anesthesia, assesses your condition and takes precautions during the procedure. You can discuss with him/her the possibility of pain and your concerns about his conduct.


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