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Screening in pregnancy in Chandigarh for safe and secure pregnancy delivery. For More Details Visit Chaitanya Hospital Contact us on 91 7087905645 or Visit our website https://chaitanyahospital.org/
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SHOULD I GO FOR EPIDURAL ANALGESIA Let’s address a very commonly asked question for labor pain relief i.e. Should I go for Epidural Analgesia? No two labor are exactly alike and no two women have the same degree of labor pain. The best approach to labor pain relief depends upon your pain tolerance, your preferences, and how your labor progresses. Sometimes you won’t know what kind of pain relief you want until you are in your labor. But still, it’s a good idea to think of the options for managing labor pain ahead of time. Understanding these pain relief options can give you more control over the labor and delivery process.
Let’s consider the options. There are many ways to address labor pain without medications. These techniques won’t stop the pain of contractions but they might help you feel more relaxed and better able to cope with these labor pains. These options include relaxation techniques like breathing techniques, walking, moving, changing positions, labor support, music, touch, or massage.
Further on as the labor progresses, the contractions become stronger and more frequent. Then, you might find a need for better analgesia. And yes, the most common popular method for labor analgesia is epidural. Women request for an epidural by name more than any other method of pain relief. In fact, more than 50% of women giving birth at hospitals use this analgesia. What is epidural analgesia? Let’s understand some more about this method of pain relief. Epidural Analgesia is a regional pain-blocking procedure that blocks pain in a particular region of your body. The goal is basically to provide analgesia or pain relief rather than anesthesia which is a total lack of feeling. Epidurals block the nerve impulses from the lower spinal segments. This results in decreased sensation in the lower half of the body.
How is it given? An anesthetist will administer your epidural. You will be positioned for that. You will be asked to arch your back and remain still while lying on either your left side or sitting up. The position is basically vital for preventing problems and increasing epidural effectiveness. Once you are positioned, an antiseptic solution will be used to clean your back to minimize the chances of infection. Then the small area on your back will be injected with the local anesthetic to numb it.
Further via a small catheter into a small space outside the spinal cord into your lower back i.e. epidural space. One or more pain medications called anesthetic medications will be injected. The catheter will be taped to the back to prevent it from slipping out. And via this catheter, we can give you repeated or continuous administration of medications. The onset of effect usually takes around 5 to 10 minutes for the placement of epidural and an additional 15 to 20 minutes for medications to take full effect. Coming to the benefits, the epidural analgesia alleviates most pain in the lower body without significantly slowing your labor. Normally an epidural will allow you to stay alert and remain an active participant in your birth. When other types of coping mechanisms are no longer helping then this method can help you deal with exhaustion, irritability, and fatigue. This will allow you to rest, relax, get focused, and give you the strength to move forward as an active participant in your birth experience. By reducing the discomfort of your childbirth, you are more likely to have a more positive birth experience.
If we discuss the disadvantages, there can be inadequate or failed epidural. You might find that your epidural makes pushing more difficult thus prolonging the second stage of labor and possible increased risk of instrumentation. Then what are the associated risks? No analgesia and anesthesia are risk-free. The good thing is that most people don’t suffer any serious complications. Common side effects are difficulty in passing urine, temporary leg weakness. Uncommon side effects include epidurals that may cause your blood pressure to suddenly drop, rarely you might develop a bad headache. Common questions about epidural When to take it? Usually, an epidural is placed when the cervix is about 3 to 4 cm dilated.
Does the placement of epidural anesthesia hurt? Some women describe the placement of epidural as creating just a bit of discomfort in the area where the back was numbed and then feeling of slight pressure as the small tube or catheter is placed. Does epidural increase the chances of normal or caesarean section? Basically this epidural analgesia doesn’t affect whether the patient will be delivered normally or by caesarean section. There are a number of factors, maternal and fetal factors on which the normal vaginal delivery or the caesarean section depends. Will I be able to push? We don’t give epidural in the second stage of labor or the working stage of labor in which you have to push. But in case if you do not feel your contractions then pushing might be difficult in this stage. And in such a situation, your baby might need additional help for coming down the birth canal. And this is usually done by the instrumentation like forceps delivery.
Can the epidural analgesia lead to back pain post-delivery? Pregnancy has many physiological changes in the spinal area, back pain can be a result of multiple factors including incorrect posture while breastfeeding, inadequate rest and neglect of mothers’ health, pre-existing spine problems, etc. Epidural injection doesn’t cause back pain nor does it aggravate pre-existing back pain. We hope that you will find this information useful in your decision making regarding this method of pain relief. Wishes for a happy, healthy and safer pregnancy! Contributed By: Dr ShikhaSardana ObsGynae Consultant
Screening in pregnancy in Chandigarh for safe and secure pregnancy delivery For More Details Visit Chaitanya Hospital or Contact us on +91 7087905645 or Visit our website https://chaitanyahospital.org/
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