painless birth


For expectant mothers, fear, hesitation and ‘How will I give birth?’ The brooding is over.

Today, with a thin needle applied to the waist region, the expectant mother can actively participate in the birth. Thus, the birth takes place more comfortably and easily. The mother can hold, love and feed her baby right after birth, as she is not in pain, is not exhausted or tired. With this method, postpartum pain is also completely eliminated.

In cases where cesarean section is required, a comfortable operation can be performed by giving a little more medication in the same way without the need for any additional intervention and general anesthesia.

Contractions of the uterus and cervix, stretching of the tissues of the pelvis and perineum are the sources of pain in childbirth. This labor pain can be even more severe, especially in first births and in expectant mothers whose menstruation is painful. This pain in labor; It depresses the morale of the mother and also affects the duration of delivery with the effect of fatigue and tension. For this reason, painless delivery is preferred in the last period.

Why does Birth Pain occur?

When the uterus contracts during labor, the sensation of pain reaches the spinal cord from the uterus via nerves and then to the brain, creating a feeling of discomfort. The severity of pain can be different for each mother.

The severity of the pain; The size of the baby, the position of the baby, the width of the pelvis, the strength of the contractions are thought to depend on past experiences and even prejudiced conditioning.

Therefore, it is difficult to predict how much pain the patient will experience before giving birth. Sometimes pain is tolerable and controllable, sometimes various pain relief methods are needed.

There are many non-medical methods that can help with labor pain, such as breathing, relaxation techniques, warm showers, massage, supportive nursing care, position changes (standing, sitting, walking, rocking), using a birthing ball. However, for some women, these methods may not be enough.

What is Epidural Anesthesia?

Epidural anesthesia is the elimination of the feeling of pain as a result of preventing the pain stimuli from reaching the brain by administering a local anesthetic substance around the membrane called the “dura” that surrounds the spinal cord by an experienced anesthesiologist.””””>Epidural anesthesia is a type of regional anesthesia and can be successfully applied in both normal and cesarean delivery.

How is Epidural Anesthesia administered?

Although the procedure can be done while sitting, it is usually done while lying on your side. You should not move during the injection. First, the area of ​​your waist to be anesthetized is cleaned by wiping with an antiseptic drug, and the area where the injection will be made is anesthetized with a small needle.

Then, the anesthetist delivers the local anesthetic drug around the spinal cord through a needle. This ensures that the periphery of the birth canal is numbed, and the pain of childbirth or surgery is relieved without the need for any other medication.

Often a very thin, soft plastic tube (catheter) is advanced through this needle and the needle is withdrawn, leaving the catheter there. In this way, long-term pain control can be achieved by administering medication through the catheter as needed. The exposed portion of the catheter is taped to your back to keep it in place.

After the procedure, you can lie on your back without any discomfort and move around in the bed. You may feel a coldness in the lumbar region while the medicine is being given. It takes 20-30 minutes for the drug to take effect. The degree of drowsiness depends on the drug used and its dose. A low dose of medication is given to relieve labor pain.

In this way, you will feel the contractions even if there is no pain. By increasing the dose, sufficient compatibility can be achieved for the cesarean section. If pain occurs after delivery or cesarean section, it can be relieved by continuous administration of medication through the epidural catheter. In some cases, a pump is connected to the catheter. You can also actively participate in pain treatment by pressing this pump from time to time and giving medication.

What are the advantages of Epidural Anesthesia?

Epidural anesthesia provides complete pain control without loss of consciousness. This way you stay alive and awake during your birth.

Patients undergoing epidural anesthesia can move their muscles without pain. By pushing in this way, you are actively participating in the birthing event.

While drugs given by injection or inhalation may affect your baby by passing into his blood, the probability of the baby being affected in this way is very low.

You do not feel the pain of applying forceps or suturing during delivery.

With this method, cesarean section can also be performed by giving more medication.

Undesirable effects are less common in patients receiving general anesthesia. Patients with this method can leave the hospital earlier.

Who can not be applied to Epidural Anesthesia?

. Patients with active bleeding

. Pregnant women with excessive bleeding or low blood pressure for any other reason

. Those with a platelet count of less than 100,000 or a bleeding disorder

. Those with a history of hypersensitivity to anesthetic drugs

. Those who have active infection in the area where the anesthesia needle will be applied

. Epidural Anesthesia cannot be applied to expectant mothers who receive anticoagulant treatment.

Does Epidural Anesthesia have undesirable effects?

If epidural anesthesia is performed by an experienced anesthesiologist, its undesirable effects are negligible. Undesirable effects are rare with regional anesthesia. However, as in all types of anesthesia, side effects can be seen in regional anesthesia. Mild and short-term effects such as headache, muscle aches and blood pressure drop may develop. Your anesthetist will explain to you the risks, benefits, and unwanted effects of epidural anesthesia.

The most common side effect is hypotension. In order to prevent hypotension, serum supplementation should be done before anesthesia and precautions are taken by constantly monitoring blood pressure after anesthesia.

Sudden drop in blood pressure, numbness in motor fibers and severe headaches in the late period may occur if anesthetic drugs are administered into the spinal fluid.

As long as the brain and heart circulation of epidural anesthesia is not used too much, no side effects are seen. In addition, post-procedure headaches, unilateral anesthesia due to insufficient anesthetic agent administration, mild allergies and skin rashes due to drugs used, infection, rarely prolonging the delivery period by eliminating the feeling of straining, temporary difficulties in urination after the procedure, and very very rarely paralysis. problems such as development.

Every expectant mother should remember that the risks of epidural anesthesia are much less than the risks of general anesthesia, and it is now a form of anesthesia that all gynecologists use very often and safely in both normal and cesarean delivery.

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