Bol is an inevitable companion of childbirth. To some extent she is necessary: on the nature of feelings trace the course of fights. In most cases pain is quite tolerant, but at the complicated childbirth it can be too strong, and then there is a question of anesthesia.
To reduce pain of the woman in labor apply different ways: the correct breath, massage, acceptance of a convenient pose during the fights. Train in all these methods of future mothers at courses of preparation for childbirth.
Indications to application of medicamentous anesthesia during natural childbirth, untied with Caesarian section – a large fruit, a narrow basin, too painful the fights provoking uneasy behavior of the woman in labor.
The inhalation method is called an autoanalgeziya – independent anesthesia: having felt pain, the woman in labor herself brings a mask to respiratory organs.
In the first period of childbirth – at disclosure of a neck of the uterus – apply inhalation anesthesia. By means of a mask inhaler, mix of nitrous oxide or other gaseous anesthetics of substances – a ftorotana, a metoksiflyurana, a pentwound moves. These substances are quickly removed from an organism, almost do not harm the child, but can make dizziness and sick.
Depending on what medicine and in what dose it is applied, action of an anesthesia can continue from 10 to 70 minutes.
The anesthetizing drugs I can be injected intramuscularly or intravenously. From the blood course of the woman in labor, medicines can get to an organism of the child which is still connected by an umbilical cord with a maternal organism, and then nervous system of the child will suffer, also violation of respiratory function right after the birth is possible. For this reason intravenous and intramuscular anesthesia is used, as a rule, after the child's birth – for example when it is necessary to remove the parts of a placenta which were late in a uterus. Most often in the course of childbirth local or regional anesthesia is used. In the first case medicine is entered directly into that small site which needs to be anesthetized, at regional anesthesia it is about quite large part of a body. Local anesthesia is applied, in particular, at suture if ruptures of a crotch take place. At childbirth apply two types of regional anesthesia – epiduralny and spinal. The first assumes medicine anesthetic introduction to the epiduralny space located between a cover of a spinal cord and an external wall of a spinal canal. At the same time the sensitivity of the lower half of a body is lost, but the woman does not faint. At spinal anesthesia medicine enter lower than the level of a spinal cord by means of thinner needle. Otnsoitelno of possible side effects less dangerous is considered spinal anesthesia. Regional anesthesia is applicable during the fights, but not at a potuzhny stage. Both epiduralny, and spinal anesthesia threaten with pressure drop up to consciousness loss, breath difficulty, neurologic violations. Both types of regional anesthesia are contraindicated at neurologic and orthopedic violations at the woman in labor (for example, at a backbone curvature), in the presence of hems on a uterus and at the lowered arterial blood pressure.