epidural anesthesia; It is based on the principle of reaching the front of the membrane called the dura by entering between the vertebrae with special needles and injecting local anesthetic into the epidural space, thus preventing the pain impulses from reaching the brain. epidural anesthesia; It can be used to relieve the pain of normal birth (painless birth) as well as during cesarean section. If the nerves that provide motor functions in the epidural region are affected, complete anesthesia occurs and the sensory and motor movement ability in all regions below the application area is lost. The patient cannot feel and move his legs. Our practice in cesarean section surgeries epidural anesthesia this is how it is. In normal vaginal delivery; Since the primary goal is to relieve pain, lower doses of local anesthetics and strong pain relievers are introduced into the epidural space than in cesarean section. Thus, without loss of motor, the feeling of pain is stopped. The pregnant woman can feel the touches and move her legs. Therefore this application epidural analgesia takes its name. Although there are differences between drugs, the pain-free period lasts 3-5 hours in epidural anesthesia. If it is desired that there is no pain after the surgery, repetitive drug applications can be made with the help of the catheters placed in this area and the pain-free period can be continued for days.
Epidural anesthesia is administered in a sitting or lying position. After giving the pregnant woman a suitable position, the place where the needle will enter is cleaned with antiseptic solutions and covered with a sterile cover. The area to be applied is determined and this area is anesthetized with local anesthetics. After waiting for a while, the epidural space is entered with the epidural needle and a one-time (4-5 hours) numbness is achieved by administering the drug. If analgesia is desired to continue for days, this is; It can be done with the help of special pumps connected to the catheters placed through the needle. Medicine; It is given in the form of repeated applications at fixed intervals or by the command of the patient when necessary.
Epidural anesthesia prevents pain caused by contractions of the uterus during labor. In normal vaginal delivery, the catheter is inserted after the labor pains, that is, after the active labor starts (after the cervix opening reaches 4 cm). In cesarean section; Even though active labor has not started, if the decision to give birth is taken, a catheter is inserted and the pregnant woman is taken to the operation.
Epidural anesthesia is also a Since the mother is conscious, the mother can participate in the birth during the cesarean section, she can see and hold her baby while the surgery is in progress.
The most common side effect of epidural anesthesia is blood pressure drop is This situation can be prevented by using intravenous serums rapidly before and during administration or, rarely, by using vasoconstrictor drugs. If the needle is advanced deeper than it should be during the intervention, leakage will occur in the cerebrospinal fluid and this will result. headache It leads to (2-4%). Headache can be easily relieved by increasing fluid intake. Common in the patient depending on the drugs used itching may occur. If the expectant mother cannot push effectively, the second stage of labor may be prolonged and the possibility of interventional delivery such as vacuum or forceps may increase. Rarely, after anesthesia; temporary difficulties in urination, drug allergy, Infection and bleeding at the intervention site, very, very rarely, temporary or permanent damage to the spinevisible.
Sometimes given due to congenital abnormalities in and around the spine or previous inflammatory diseases failure in anesthesiait could be.
Epidural anesthesia will be born There is no known significant risk for the baby., even in general anesthesia the possibility of passing medication to the babyIt has an advantage as well.
epidural anesthesia; It cannot be applied in cases of infection or congenital abnormality in the intervention area. A very good evaluation and post-preparatory application should be made in those who have congenital or acquired bleeding disorders and who are receiving anticoagulant therapy. This anesthetic administration can be difficult in people who have had surgery on the lumbar region or who are very obese.
In the light of our current knowledge and experience, normal vaginal or cesarean delivery with epidural anesthesia at the right addresses; we can say that it is a comfortable, safe, comfortable and modern method.