Since the mother does not get tired during the birth process, she can actively participate in the birth, because she is awake and painless, it becomes easier for the mother and the baby to bond, and the mother can look after her baby very soon after the birth.
The sine qua non for epidural birth is that the mother is conscious and prefers to participate actively in the birth process. It should not be forgotten that this is a vaginal delivery and pain and uterine contractions may be felt, albeit partially. Epidural anesthesia is performed after active labor begins, which means that the expectant mother should feel a certain amount of pain until the active phase of labor.
The procedure is performed by an anesthesiologist, with regular uterine contractions, after the cervix is opened at least 4 cm, the expectant mother is taken to the preparation room where the procedure will be performed. First, the mother’s vascular access is opened, serum is inserted, her blood pressure is measured, and maternal and baby heart sounds are connected to the monitor. Then the expectant mother rests her chin on her chest, crosses her arms over her shoulders, and bends forward as much as possible, arching her back. A good position and staying still are very important for the procedure to be done quickly. After the lumbar region is cleaned with an antiseptic, a special needle is inserted into the area known as the epidural space. At this time, pain is not felt or felt very little. Under the guidance of this needle, a catheter is placed in the epidural area and the needle is removed. Processing time is 5-10 minutes on average. After the procedure is over, there is no problem in lying on your back, walking around and moving around.
After the catheter is inserted, the drug is started to be applied. After the drug is applied, there is warming and tingling in the feet, and then the numbness rising up to the navel level is felt, the effect begins in an average of 15 minutes. The aim here is to ensure that the mother feels the contractions but not the pain. When the pain gets worse with the progress of labor and the decrease of the effect of the drug, drug administration is continued through the existing catheter. With the delivery, the need for drug administration ends and the catheter is gently removed.
Since very few drugs are administered in epidural anesthesia, adverse effects on the mother and baby are very rare. Side effects such as prolongation of the birth process, mild dizziness in the mother, temporary drop in blood pressure, nausea, itching, and drowsiness are observed.
It is the most natural right of every woman to have a painless and healthy birth.