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Epidural anesthesia interferes with breastfeeding
Yes, when I was young I also believed that the epidural was the panacea, a miracle of science that came to put an end once and for all the biblical curse of pain in childbirth. “give birth to your children with pain,” says Genesis what makes us think about whether there was a time when the pain was not necessarily associated with the delivery, but that is another story that one day I will try to count.
I guess it is not necessary to describe what an epidural, most women who have given birth (for one way or another) have received this type of anesthesia. The anesthesia or epidural analgesia or epidural is, according to scientific consensus, the best choice in case of caesarean, both scheduled and urgent, as it allows the mother to be aware at the time your baby is born and has fewer side effects. Although, like everything, this also depends on your preferences and it is not uncommon for a mother ask for general anesthesia for cesarean section if – especially if it is not the first, be aware as you open the uterus is not very rewarding experience especially if at the time you’re thinking that there is a problem with your child.
But, like all medications, epidural anesthesia has its contraindications and risks. The most important is that according to the literature may be related to childbirth longer and difficult births (which are complicated, deliveries, dystocia of presentation …), but some of these problems can be solved with the walking-epidural , which allows the mother to stand and even wander during the expansion phase, but not always available because it requires more control by the anesthetist. Read the rest of this entry »
Complications of Epidural Anesthesia
Neurological sequelae:
Foster Kennedy published about 40 years ago an article entitled “severe paralysis caused by spinal epidural anesthesia.” This article received much publicity and almost caused the complete abandonment of epidural anesthesia, especially in Europe.
Dripps et al. in 1956 published the results of three years of research: Long-term monitoring of 10,098 patients undergoing epidural anesthesia complications. The incidence of serious complications proved to be of 1:10.000. Most complications were attributed to contamination of needles producing a rising arachnoiditis.
In 1980, Reisner and Ravindran described cases of neurological disorders following intrathecal application of procaine containing sodium metabisulfite, a stabilizing agent in equilibrium with sulfur dioxide and water and carbon dioxide that readily crosses the cell membrane causing intracellular damage. Read the rest of this entry »
The epidural
Delivery in most cases it is painful, but like any pain depends on the perception of each person, some feel more pain than others, so the epidural is a way to relieve and even eliminate the pain. As with any drug administration should be evaluated to verify that the patient does not have any contraindications in the application being necessary to have a medical history will be reviewed by the physician, including a document must be signed for acceptance of it.
There are many myths about epidural anesthesia, because of this, many women are too afraid to use it, the most important thing is that you are fully informed of what it is, how it applies, what effects and what complications can happen. It is recommended that you speak with your doctor beforehand so you can decide whether to use or not.
EPIDURAL ANESTHESIA IS
epidural anesthesia is a local anesthetic to numb the lower back of the body from the waist down, without losing muscle tone, ie you can move and be aware and does not harm the baby. Used to relieve the pain of normal deliveries and caesarean sections.
HOW TO APPLY THE EPIDURAL ANESTHESIA
responsible for making the application of epidural anesthesia is the anesthesiologist or nurse anesthetist, performed when the woman has reached a dilatation from 2 inches, as follows: Read the rest of this entry »
Epidural anesthesia or epidural
What is an epidural or epidural?
An epidural involves the introduction of a local anesthetic in the spinal cord or spinal column, outside and spinal meninges. This will interrupt nerve transmission of pain sensation.
To perform a spinal anesthesia was performed in the lumbar back with a very fine needle and local anesthetic infiltration. Once the skin is numb, a needle is heavier gauge and put it through a thin tube or catheter into the spinal canal outside of the meninges. Through this catheter local anesthetic is administered to produce analgesia or anesthesia, depending on the dose administered. This same catheter used to administer anesthesia in case the delivery does not evolve and required a Caesarean section.
The anesthetic effect does not immediately but gradually, as the drug has to get on the nerves. The reduction of pain will be felt between 10 and 20 minutes. When do you put the epidural?
The timing of the application always decided by the gynecologist, but usually when the cervix is dilated 3 or 4 inches. Does epidural effects on the child? Read the rest of this entry »
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 »
Side effects of epidural anesthesia
One of the most common fears among expectant mothers who come slowly when your baby is receiving the epidural, an injection that causes lots of doubts and uncertainties that try to solve in this article.
Epidural anesthesia is applied to reduce pain during labor by both mother and child of the whole thing much less traumatic experience, but a lot of questions and concerns arise from the same, related to the possible risks, side effects or contraindications on the child.
The application of epidural anesthesia is increasingly popular because it allows for less pain during labor without loss of consciousness for a woman to keep pushing and giving birth to her child, and is usually set when the pregnant woman has dilated three or four centimeters, placing a catheter near the spinal cord.
Although its application in the body brings some side effects , they are minor compared to the benefits it represents, so that overall results in a very safe practice, but it is worth knowing some of the symptoms that may occur after application. Read the rest of this entry »
Conduct of normal childbirth
You are at the end of your pregnancy, you lose water or you experience painful contractions and close it’s time to leave for maternity. From your arrival at the facility in your room with your baby, this is what happens.
The arrival at the maternity
Upon your arrival, a midwife is your constant (voltage, temperature) and considers the cervical dilation. She puts on your arm a catheter to be used in cases of infusion and install two sensors in your stomach that monitoring records uterine contractions and the baby’s heart.
The early work
You are then installed in work room. You can get up and do exercises with a ball.
Every hour, a midwife measure cervical dilation and takes your constants. Of regular monitoring can estimate a healthy baby.
Gradually the contractions become more frequent and painful.
Namely: if the expansion is too slow, your baby may suffer. The wise woman you are given a product to accelerate the frequency and intensity of contractions. The contractions can cause vomiting.
Epidurals
The cervix is dilated to 3 cm: it offers the epidural you will give birth without pain. An anesthetist practice then a sting in your back, place a catheter into the spine and injects the anesthetic: your pain fade in 10 minutes.
Once the epidural placed, you can not move, eat or drink. You are under continuous monitoring.
Namely: You can request the epidural until 7 or 8 cm dilated. Make up your time!
Expulsion
When the cervix is fully open, it fades away undertakes baby and you feel an urge to push. This expulsion.
The midwife then install the brackets at the end of the bed to elevate your legs.
You should push strongly to the rhythm of contractions. This stage lasts about half an hour. The portion of the head is the hardest, then the body comes alone. Sometimes you make an incision of the perineum (episiotomy) to prevent tearing.
Namely: the gynecologist obstetrician is called in case of complications, if any need to use forceps or suction cups to help your baby out.
The issue
Your baby is born but it is not finished: it is the placenta. This phenomenon usually occurs without effort 20 to 30 minutes later.
Baby First Aid
Immediately after birth, your spouse can cut the cord.
A medical team takes care of your baby and unclog his airway by suctioning the mucus in his nose and mouth. Your baby is weighed and examined from every angle! Fontanelle, hips, genitals, shoulders, abdomen … The midwife then took his temperature and it takes a few drops of blood.
Once dressed and his ID bracelet in place, your puppy may find your arm.
Namely: we often measure the baby the next day.
And the mother?
Meanwhile, you are not forgotten! The most important thing is to check that all the placenta was expelled. The stitches are made in cases of episiotomy. After two hours of monitoring, you regain your room with your baby.
These are: the average labor lasts 12 hours for women giving birth to their first child and 8 hours for others.