Labour Analgesia

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IVF Center in Aurangabad

ENDOWORLD HOSPITAL # 723, In front of Airport, Chikalthana, Aurangabad – 431007, Maharashtra, India.

IVF Center in Aurangabad

ENDOWORLD HOSPITAL # 723, In front of Airport, Chikalthana, Aurangabad – 431007, Maharashtra, India.

Introduction

Pregnancy is dreams come true of all couples. The first time mothers are filled with apprehension and innumerable questions. They develop misconceptions and fears regarding pregnancy and labour pains. The delivery of the baby into the arms of a conscious and pain free mother is one of the exciting and rewarding moments in medical field. Expectant mothers are with the feelings of excitement, worry and also fear. One of the greatest fears is the fear of intense pain during labour.
The pain of child birth is the most severe pain most women will feel is their lifetimes.
The perception of pain during labour and delivery varies between individuals. Especially the first time mother need a proper antenatal counseling regarding good nutritious diet, antenatal exercises and physiology of labour pains. Here we shall only be dealing with labour and delivery.

There are many pain relief methods is labour like

Out of which epidural analgesia is the most versatile method and gold standard technique for pain control is labour.
Reason of pain during pregnancy
During the labour or delivery there is stretching of the cervix, uterus, vagina and perineum leading to stretching of nerve fibres supplying them, thus causing pain.Epidural anesthesia is an advance in pain management during labour. It is a regional anesthesia is which an anesthetic drug is injected near the spinal coral.

Areas Affected

It numbs the body below the waist, but the movements are not impaired.

Time of anesthesia

It is administered when the patient is in active labour. It can be given as a single injection or in multiple doses through a special epidural catheter by a skilled anesthetist.
It is administered only is advanced stages of labour when cervix opens to about 3-4 cms.
With a local anesthetic, a needle is passed through the space just outside the dural membrane surrounding the spinal cord, spinal nerve, roots and spinal fluid. The patient feels no pain during the whole process except the needle prick.

When not to opt for labour analysis

  1. Is allergic to certain local anesthetics
  2. Has a neurological disease
  3. Has a bleeding tendency
  4. Regularly taking aspirin
  5. Has an infection is the lower back area.
  6. Has had a previous back surgery
  7. Has a psychological disorder or fear of needles
  8. Is morbidly obese
  9. Is unable to co-operate or position herself to allow an epidural
  10. Is too early in labour
  11. Has an abnormal labour or fetal monitoring pattern

Effects of epidural on the baby
Normally a small dose of medication is used which does not have any effect on the baby’s behavior. The effects of the medication on the mothers body usually wears off before her breasts starts producing breast milk.

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