> Epidural Analgesia or epidural: what’s it about?

The word “analgesia” derived from the Greek do you mean “without pain”. The term “partoanalgesì”, we mean then a medical practice that allows you to give birth in a natural way and avoiding pain.

The pain in childbirth is a thing inevitable?

The perception and especially the pain tolerance factors are extremely variable from person to person. Some women derived a great gratification and confirmation of their skills if they are living labor and birth in the shelter of each medication, while for others the pain can; represent an event strongly negative that prevents you from living the birth of the child in a calm way.

Suffer not è forò the inevitable, and who says you have to endure all the pain becauseé “women give birth so”, may not know that già the egyptians had recourse to amulets and magical rituals to reduce the pain of childbirth and to the same result trying to get the greeks and the romans using infusions of mandrake, poppy and other herbs, without forgetting that, in England, queen victoria, in the early years of the last century is submitted to the first local anesthesia for childbirth.

How do you control the pain in labor and childbirth?

The analgesia in labor pains (partoanalgesia) is achieved with a technique called “epidural analgesia” (or “analgesia, epidural”: there are no differences, the words are different but refer to the same thing). This technique can be performed only by a physician anesthesiologist, that before carrying out the visiterà mother and controllerà the clinical file and to the latest analysis.

How is it done the epidural?

Starting at the level of the lumbar region and by using a needle specific, you reach a space, the epidural space that is formed by the fat tissue that covers the nerve fibers that transmit the pain of labor in an area where it now is; at the end of the spinal cord.

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In this space is placed a small tube of plastic material (called a “catheter”) that is fixed then in the back, allowing any movement of the woman in travail and that will beà removed to delivery. Through the “catheter” are injected, when it is needed, and even più times, all the drugs that are used to obtain analgesia in the various stages of labor, without the needà of more bites.

The epidural is painful?

This technique is painful becauseé is preceded by local anesthesia, and può be performed in a few minutes.

There are risks to the child?

The positioning of the catheter and the drugs used do not cause alterations to the child.

After having the epidural not hearò più the contractions? Will have toò stay in bed during labor? I hearò immobilized?

No! Epidural analgesia allows for effective control of pain in labour and in childbirth, leaving unchanged all the other sensitivityà and also the capacity to move and walk! After you have administered the medication in the tube attached to the back, the uterine contractions will continue to be perceived leaving the sensation of “something moving in the belly”, but will no longer be painful. Sometimes some women may experience a slight alteration of the sensitivityà può manifest itself with tingling and sensation of heat in the legs and abdomen.

This technique due to alterations in the normal labor?

epidural analgesia reduces pain and stress, and let the birth happen in a “normal” way. The epidural, if done properly, does not affect the physiological aspects of the various stages of labor, and the period of expulsion. Può happen that the contractions are reduced and you experience less of the “pushing sensation”- However, the dose of anesthetic that is used is “custom” in relation to the perceived pain and the stages of labor.

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When can I ask for the epidural?

Sinceé epidural analgesia should not interfere with the normal dynamics of the labor, può be performed, in agreement with the team of obstetric and gynecologic. provided that the labor is started and only after the visit of the gynecologist.

Potentially, every woman può request for epidural analgesia; the visit of the anesthesiologist willà to clarify if there are any problems that prevent the execution. In some conditions an epidural in labor is particularly indicated, as in the diabetes, inhypertension, in the toxemia of pregnancy, severe myopia, previous retinal detachment, and some cardiovascular diseases.

When is better not to do it?

As with all medical interventions, the execution of the epidural analgesia può have some drawbacks: they are represented by the disorders of blood coagulation and anticoagulant, infections localized in the region of the back, or generalized, to some of the pathologies of the spine and rare muscle diseases. the

The epidural is dangerous?

epidural analgesia is a safe technique, widely practiced throughout the world by many annl and usually tolerated very well. However, although rarely, it can present some drawbacks, many of which have a low incidence:

low back pain, which if not pre-existing is due to the puncture to the epidural, usually resolves spontaneously In a few days without the need of specific therapy

Headache (0.6 – 0.9% of cases), which canò last also several days and, despite being annoying, può be effectively treated with the help of the più simple analgesics, and with the reclining position. The anaesthetist avrà, however suggest to any individual cases them treatment più fast, efficient, and appropriate.

..and if at some point I need to do the caesarean section?

The epidural può also be used as a technique of anesthesia for childbirth with caesarean section. In this case, it will introduce in the catheter of specific drugs to achieve a level of anesthesia “surgery”, abolishing the sensitivityà of the woman with the breast in giù and in some cases even the capacity to move the legs for a few hours.

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This technique does not Influence the child’s condition at birth and makes it possible for the mom see the baby, eventually have next-to-sé the husband at the time of the birth, control for optimum post-operative pain, recover in time quite rapid intervention, breast-feeding right now . the

in The event that the woman desires, is also possible. after the birth of the child, to receive a “sedative” that helps you pass the più quickly the time of the intervention. During the operation, sarà place a sterile towel to avoid to see the various maneuvers surgical.

How can I “prepare” to the epidural?

it is good that the pregnant woman who intends to give birth with epidural analgesia programs between the eighth and ninth month of pregnancy, an interview with the anesthetist during the visit, sarà evaluated the possibilityà to perform the epidural in relation to the clinical conditions of the mother and the blood tests performed during pregnancy. In addition, we will provide all of the additional explanations that will be required, and sarà can sign the informed consent to the anesthesia.

See the experiences of Service Anastesia and Analgesia in Obstetrics, Ospedale S. Pertini, Rome

give Birth with or without epidural? What do you think health.cytan.com?

Not to give birth before 39 weeks, read because it;

To be truly free to choose read the opinion of Verena Schmid, look for the title: Perché the epidural not può be called progress



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Page updated on July 5, 2008