Labor pain relief is called epiduralny anesthesia. Now this procedure widely practices in clinics both on medical indications, and at the initiative of women in labor. The relation to such anesthesia is ambiguous.
Procedure of labor pain relief
To anesthetize patrimonial process, carry out a thin tubule to a lower back of the woman in labor. On it the anesthetizing medicine is delivered. The catheter is in epiduralny space, it surrounds a firm cover of spinal nerves and is located from a tailbone to the head. As a result, the painful sensitivity at the level of a spinal cord is eliminated. Depending on a dose and a type of medicine, anesthesia can be partial or full. After the delivery the catheter is taken at once.
Epiduralny anesthesia has the advantages. It does not influence activity of a brain, does not change consciousness, blocks production of the hormones of a stress which are slowing down childbirth. Also there are no data on negative impact of medicines on the child. The lowering of arterial pressure after hit of medicine in an organism is noted that is positive for women with elevated pressure. But there are also unpleasant effects, and there is a lot of them.
There is a feeling of numbness in legs, is frequent - a muscular shiver. Problems with a respiratory system are noted, the woman in labor suffers a shortage of oxygen. This problem is resolved by use of an oxygen mask. If epiduralny anesthetic accidentally gets to the general blood-groove, the woman can faint. But before holding a procedure the doctor has to make sure that the catheter is located in nerves, but not in a vein. During the procedure there can sometimes be unpleasant feelings in a back, but they are short-term. After the procedure, long-term head and back pains are possible, especially upon transition from horizontal position to vertical.
To do or not?
To resort so to epiduralny anesthesia or not? The issue of its influence on childbirth still remains controversial. Influence of anesthesia in each individual case is unpredictable. In the first period of childbirth it can not influence process in any way, and can accelerate it or slow down. There is an opinion that process of exile of a fruit under the influence of epiduralny anesthesia significantly slows down. Even if it and so, are no indications about harm of this factor. There is an opinion among experts that natural childbirth under epiduralny anesthesia has risk will end Caesarian with section because of the slowness. Other experts consider that all this delusions. They say that delay of childbirth is not confirmed with official researches. On the contrary, there are researches approving the return: there is an acceleration of patrimonial process. The statement about risk of transition of natural childbirth to operation is also challenged. Epiduralny anesthesia is shown to women at whom the risk of complications at childbirth is high. Including, such indication is the narrowness of pelvic bones. Of course, in this case childbirth can end with the section forced Caesarian. Thus, positions about relevance of epiduralny anesthesia so far very much differ. It is necessary only to add that in certain cases it really is necessary. Sometimes physiology of the woman such is that childbirth delivers it too big tortures. But in many clinics the woman can receive medicine at own will, without medical indications. Legitimacy of such freedom - an open question. Authoritative data on harm of epiduralny anesthesia are not available yet.