Epidural anesthesia is the most effective and convenient one of the above methods. Provides an awakened and comfortable birth, due to the mother giving more time to the baby, which is the most commonly used method.

Again, thanks to the comfort of the future mother, the spouse without any slightest fright can be present on paired births.

Nerves that pass from the birth canal and the uterus carry pain, they are in the epidural region of the lower back. Local anesthesia applied to this area temporarily prevents the transmission of these nerves. In other words, the administration of the drug to the epidural zone reduces or eliminates pain.

When and how is epidural anesthesia used?

The American Association of Obstetrics and Gynecology and American Anaesthesiology published their general thoughts entitled “Enough to relieve pain”

Cases, rarely when epidural anesthesia can not be performed.

  • There is a disorder in the mother’s bleeding system;
  • The presence of untreated mother fever;
  • Detection of an epidural catheter infection.
  • Epidural anesthesia begins to be applied at the onset of labor, saving the woman in labor (c ee wishes) from all the painful sensations, but more often - with the beginning of active contractions, about 3 cm of the opening of the cervix.

During the procedure, your anesthetist will need your help. If you report a reduction in the uterus, that is, when the pain begins, the doctor will wait for your relaxation, and then continue the procedure.

The area of the puncture is carefully treated with an antiseptic solution. The technique of epidural anesthesia during childbirth consists in carrying a thin plastic tube (epidural catheter) into the epidural space in the region of the lower back. The catheter is a sterile tube that is soft, flexible and thinner than 1 mm in diameter. Epidural space is a small space that surrounds the outside of the dura mater, which covers the spinal nerves and spinal fluid that surrounds the spinal cord. Epidural space extends from the coccyx to the head. Drugs introduced into the epidural catheter cause a blockage in the transmission of pain in the nerves passing through the epidural space. This process is very short and painful. Future mothers describe this as “a moment of soft electrification” and does not cause discomfort. The needle is removed, and the catheter tube is attached to the back, through which as many injections are administered as safe and necessary to the “afflicted” parturient child to prevent pain in the abdomen and groin.

Relief of pain comes about 15-30 minutes after epidural anesthesia. After that pain sensitivity disappears, but a feeling of pressure is felt, especially when the child is born. Epidural anesthesia can shorten the period of opening the cervix and promotes the smooth movement of the child through the birth canal. You can facilitate delivery constantly in contact with an anesthesiologist.

Negative aspects of epidural anesthesia. Epidural anesthesia is the subject of many studies. Over the past thirty years, there have been so many scientific studies, as a result of these studies, it has been revealed that the development of serious complications of epidural anesthesia is very small. With epidural anesthesia, complications or side effects are possible in some patients, there may be a decrease in blood pressure and headache, chills, skin itching.

All these side effects that can be easily eliminated. Recent studies have shown that the use of epidural anesthesia does not lead to back pain. During each pregnancy or postpartum period, that lumbar pain is not the cause of epidural anesthesia. In rare cases, the epidural block may not be sufficient and should be repeated. The results of world studies show that in these cases, from 1% to 5% occur.

The pain is caused by different reactions, each person is individually, the reaction of epidural anesthesia can vary. The technique described as “mobile epidural” and “walking epidural” allows the mother to move with a low dose using local anesthetics. During childbirth, the anesthesiologist is constantly near the parturient woman, monitors her condition, reaction to the injected drug, the blood pressure level of the mother, and the child’s palpitation. If suddenly the dose of the drug is insufficient and anesthesia is weak, the doctor will inject an additional dose of anesthetic.

In the case of a mother-in-law request, the medication may be increased to a “standard epidural” technique, in which case the legs are numb. After stopping the medication, numbness goes away and the mother is allowed to walk. Serious side effects can be during surgery if there is infection and bleeding. In the medical literature, the number is limited.

Benefits of epidural anesthesia It was found that the stress hormones released by the body due to maternal anxiety and birth pain have a negative impact on the mother, the birth of a child. Due to the peaceful and safe environment provided to the mother and her environment, these consequences are eliminated. A less tired mother will soon be able to devote a lot of time to her child after birth. Mother’s collaboration with a doctor will become even better, and regular and systematic tension will be ensured. There is anesthesia for episiotomy and / or tweezers, vacuum. Medicines made intravenously and intramuscularly prevent the child from respiratory failure. There is no harmful effect of drugs on the child, received from epidural anesthesia. If for any reason a cesarean section is decided, the operation can be easily started by increasing the dose of the drug. Basically, babies born with an epidural caesarean section have fewer respiratory complaints than children born with general anesthesia.

Caesarean section with epidural anesthesia We have previously stressed that the injected pain medications block the transmission of painful impulses to the brain, thereby allowing the giving birth to a woman not to feel the fights. However, the dose is calculated so that the woman in labor does not feel anything below the belt, but she could move independently. Epidural anesthesia during childbirth allows a woman to be fully conscious.

The use of common methods in pre-planned cesarean operations has become widespread throughout the world. It is known that 80% and 90% of epidural anesthesia are used in the US and UK, and general anesthesia is used only in very urgent cesarean sections.