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Childbirth: epidural anesthesia
Recall that not long ago our mothers gave birth without anesthesia and did not die for it. But we must also recognize that epidural anesthesia has been a revolution in childbirth care by marking a before and an after in the obstetric history.
Its use is now widespread in parts, allowing conscious at all times keep the woman at the same time blocks the sensation of pain in the lower body.
Is used to numb the nerve roots as they exit the spinal cord. This is installed with labor contractions are regular and have reached (ideally) to 5 centimeters dilated. It takes 10 to 20 minutes to take effect so if labor is well advanced may not time to take effect.
The positions to implement the epidural are sitting or lying on your side always with the curvature of the back out. Before applying the epidural, the skin is disinfected and local anesthesia is placed so that the woman does not feel pain when lumbar puncture.
Then a needle is inserted between the second and third vertebrae, or between the third and fourth in the lower back, which enters the epidural space located between the bony walls of the spinal canal and the sheath of the cord. He puts a thin, hollow tube called a catheter is inserted after removing the needle through which you are applying the dose of analgesic required by an automatic infusion pump. Read the rest of this entry »
Epidural anesthesia allows the mother bid
When anesthesia-the mother reaches 10 centimeters dilated and the baby’s head begins to push the reflex is triggered bidding. Before the epidural anesthesia was administered in single doses and more concentrated, so yes it was a risk of motor paralysis stunning and damaging the ability to push.
At present, epidural blocks pain but does not block the mobilization so the mother can feel the contractions and the urge to push. The only thing that removes the pain of each contraction, but may feel some pressure or muscle tension.
Additionally, during childbirth the mother and baby are monitored and can determine when you will get a contraction.
The anesthesiologist controls at all times the amount and type of medication being given at an early stage the objective is to relieve the anesthesiologist uterine contractions, then the goal will be to relieve the pain in the vagina and perineum when it is dilated and ready to baby’s passage.
If you begin to block the mobilization, feeling of weakness in the legs, or some other mishap, the anesthesiologist will decrease the amount or medication changes, and even other medications can be administered through the epidural catheter.
BENEFITS OF EPIDURAL ANESTHESIA:
* Continuous pain relief from the navel to the vaginal walls
* Mother to not feel pain is getting relaxed and breathing slowly, benefiting both she and the baby who achieve good oxygenation.
* Can be used in cases of caesarean section, allowing the mother to be awake during the operation without getting lost in your baby’s birth.