Can painless delivery affect the baby’s intellectual development?Top ten misunderstandings about childbirth analgesics

From March 27th to April 2, 2023 is the "China Anesthesia Week". The theme of this year is "Awesome life, doctors and patients -tell a good anesthesia story, and help healthy China."

With the development of modern medical technology and medical concepts, the work of anesthesiologists is not only escorted by patients’ surgical safety, but also played an indispensable and important role in painless diagnosis and treatment.

82 % of people support painless delivery

In 1995, the World Health Organization determined that by 2015, the global common struggle goal of "everyone enjoys reproductive health" proposed the slogan "Everyone has the right to enjoy childbirth analgesic";Notice of the Pilot Work of Aurement "; in August 2022, 17 departments including the National Health and Health Commission issued the" Guiding Opinions on Further Importing and Implementing Active Paternal Support Measures ", which specifically proposed to expand the pilot of childbirth analgesics and improve the level of childbirth analgesic levelEssenceAt present, the average giving birth rate of 913 pilot hospitals across the country is close to 60 %.

"Data of the 2022 World Affairs Day · Data Data Research Report" shows that 36 % of people still do not understand or only hear the analgesic of childbirth; 82 % support the use of painless delivery, but only 54 % ofThe family uses painless delivery in actual life.

In terms of popularizing "giving birth analgesics", 22 % of people want relevant costs to be included in medical insurance, 21 % of people want to strengthen popular science propaganda, and 21 % of people want to strengthen prenatal education.This is related to the lack of understanding and misunderstanding of the giving birth of childbirth analgesics. More than 20 % of those who are worried about childbirth analgesia will affect the fetus, and they are also worried about affecting the health of the maternal.

Misunderstanding 1: Painless will affect the baby’s intellectual development and growth

In fact, painlessness can increase the blood supply to the placenta while alleviating the pain of production, preventing the strong contraction of the uterine arteries from affecting the fetal supply of the fetus, and improving the safety of the fetus in the palace.In addition, the amount of anesthesia in the spinal canal is very small, which is only 1/5 to 1/10 of the production surgery, and it is a local anesthesia. It does not use the placenta to only act in the mother’s spinal canal.of.

Misunderstanding 2: Anesthesia needle on the lumbar spine will cause low back pain

Lumbar pain has nothing to do with extra analgesic.Maternal does not have anesthesia, and about 40 % of people will have postpartum back pain.Lumbar pain is mainly directly related to calcium deficiency, load, ligament softening, incorrect posture, and absence of exercise.

Misunderstanding 3: Caesarean section is smaller than the side effects of childbirth analgesics

Childbirth is a physiological process, but if it is transformed into a cesarean section, it will cause trauma.This trauma is also a pathological process for the mother itself, and the risk of some complications in the uterus of the scar will increase a lot, such as placenta front and placental implantation.It will increase accordingly.

Misunderstanding 4: Children’s analgesics will leave sequelae for the body of the mother

Any medical behavior may have risks. Children’s analgesic is a creative operation in the spinal canal and the risk of operating related complications.In addition, drugs in the spinal canal may also produce some side effects, such as nausea, vomiting, hypotension or fever, but in general, the incidence is very low and there is no need to worry too much.

Misunderstanding 5: Children’s analgesic is a new technology, and it is not mature

Children’s analgesic is not a new technology. The first woman in the world to successfully use childbirth analgesics is Queen Victoria, UK, which has a history of more than 160 years. And the clinical implementation of the giving birth in the history of anesthesia has a history of nearly 100 years.This is a mature technology.Pain in childbirth will also have a series of adverse effects on mothers and fetuses. Therefore, childbirth analgesic is particularly important. It not only improves the comfort of mothers during childbirth, makes maternal and infant live signs and internal environment more stable.Doctors and anesthesia doctors have also given better protection. Therefore, childbirth analgesic is the product of the development and progress of modern obstetrics, modern anesthesia, and modern medicine. Applying for childbirth analgesic medical services is the right of every mother.

Misunderstanding 6: If you do n’t hurt after using giving birth and analgesics, you will not be able to give birth to a baby

Pain is a human instinct. If a person lacks the ability to perceive pain, it will not be able to protect himself from self -protection, or even affect his own survival.The pain caused by disease or injury can be divided into mild, moderate and severe. Most of the clinical severe pain is not required to "hold on tolerance". One of them is one of them. The anesthesia method used by painless delivery is to help the mother relieve uterine contraction.The pain of pain, while retaining the function of uterine contraction required for childbirth, can relieve pain and effectively improve the success rate of natural delivery and reduce cesarean section.Therefore, there is not much causal relationship between the standardized giving birth analgesia and the "unable to give birth".

Misunderstanding 7: It should be a pain point for delivery

Pain is an important part of pain treatment. There is no need to endure pain in the treatment of pain. It does not bring any meaningful value to fertility.Lotial pain after childbirth is also a common symptom of mothers, and maternal pain may also occur without childbirth.The reason is as follows:

1.In the process of childbirth, the fetal head stimulates the birth canal when delivery through the birth canal, causing the production channel tissue to be congested and edema and cause back pain.

2.During the childbirth process, the pregnant woman is too large, and the muscle strain on the back of the back has too many acid metabolites accumulated and causes low back pain.

3.After giving birth to a child, lying on the bed for too long, the local blood circulation is poor and causes the symptoms of waist pain.

4.Because during pregnancy, the lumbar spine is under excessive pressure, causing the intervertebral disk disease. After the birth of a child, this state cannot be fully recovered in a short period of time.Blood circulation helps to relieve the symptoms of low back pain.

Painless delivery can make the expectant mothers no longer experience pain torture, reduce fear during childbirth and postpartum fatigue, so that they can rest in the longest first outbound process and accumulate physical strength to complete delivery.

Misunderstanding eight: Painless anesthetic concentration will be high

After the delivery process began, anesthesiologists administered the "painless needle" from the maternal lumbar spine, and then continued to supply low -concentration anesthesia according to the specific situation during childbirth.Continue until the end of delivery.Although this method has a long time in injection, the total amount of injection is not large because of its low concentration.The concentration of the phenomenon can only block the sensory fine fiber of the nerve, which will not block the motor nerves, and it has little effect on the production process!

Misunderstanding Nine: Is it painless at all after painlessness?

Different people have different pain thresholds and painful performance. Some expectant mothers do n’t feel contracted pain at all, and the whole world becomes very beautiful. Some maternal women say that they still have some pain, but the overall weakening is obviously weakened.The "painless needle" in everyone’s mouth can indeed make most maternal maternal much easier during childbirth.At present, there are two main internationally internationally internationally internationally internationally internationally produced analgesic and analgesics: the analgesic and analgesic of systemic anesthesia drugs are mainly used.The very low concentration of nathers, coupled with the individual differences of the mother, not every maternal can completely eliminate pain, but to a certain extent significantly reduce the pain of maternal pain and welcome the arrival of new life in a comfortable state.

Misunderstanding Ten: Not everyone can use it, good health can be painless

During childbirth analgesics are not applicable to everyone. They have clear adaptive certificates and taboos. Maternal mothers need to meet the following three points: first, maternal can give natural delivery naturally; second, maternal taboos of giving birth in giving birth in no spinal canal;Third, the consent of patients and family members must be obtained.Only after the doctor’s comprehensive assessment can it decide whether it is suitable for childbirth analgesics.

Painless delivery is performed under anesthesia. People with anesthesia taboos are very dangerous to do the operation.In addition, pregnant women with abnormal coagulation function cannot use painless delivery, and they can choose natural delivery or caesarean section.If there is a pregnant maternal disease with heart disease, drug allergies, and a history of trauma in the waist, the doctor should consult the doctor, and the doctor decides whether it can take painless delivery.Some maternal emergencies, back injuries or infection, lumbar deformity or surgery, and symptoms such as bleeding and shock occur before childbirth are not suitable for painless delivery.(Reporter Ji Wei)

Source: Workers Daily

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