Comfortable and safe!Don’t be demonized painless delivery

It is very hard to conceive in October, and the pain during natural delivery has worried many expectant mothers.The development of medicine can effectively help expectant mothers to reduce pain through various ways of childbirth and analgesics, so that they can reduce the pain of pain as much as possible while greeting new lives.

1. What are the methods of giving birth to analgesia now?

There are two major categories: non -drug analgesic and drug analgesic. The former includes the help of professional helper to accompany her husband or other family members., Reduce anxiety, disperse attention, so as to achieve the effect of relieving pain.

Drug analgesic is the most common method of childbirth. Usually, painless delivery refers to the use of spinal anesthesia, especially extractional anesthesia for childbirth.

The analgesic in the spinal canal is the most accurate method at home and abroad. Anesthesia doctors injected analgesic drugs in the spinal canal around the spinal cord to block the transmission of pain signals, so as to effectively relieve the pain of the lower body, that is, everyone, that is, everyone, that is, everyoneThe "semi -hemp" often said.While alleviating pain, expectant mothers can also sleep and rest and replenish their physical strength according to their personal circumstances. They can also take a walk in the delivery room to promote cervical expansion and accelerate the progress of the production process.

2. Can I be painless?

At present, the principle of painless maternal delivery by painless delivery in my country is adopted. When expectant mothers have requested painless delivery, the obstetrician and anesthesiologist jointly evaluate whether it can be analgesic in the spinal canal delivery:

1) After the evaluation of the obstetrician, the expectant mother believes that the expectant mothers have been in their labor (that is, entering the production process, regular contractions and gradually enhanced, which lasts 30 seconds or more), and the conditions in all aspects are appropriate, which can be delivered through yin.

2) The anesthesiologist evaluates that expectant mothers have no taboos in the spinal canal. For example, the lumbar spine has been injured, surgery has been performed, there are coagulation dysfunction, the skin of the waist and back is infected, and the analgesic drugs are allergic.

Generally speaking, more than 90%of expectant mothers can accept painless delivery after evaluation.

3. How to fight painless delivery?

Generally, before the painless delivery operation, the midwives will give the expectant mothers to take a bit, do fetal heart monitoring, and then help expectant mothers to lie on their knees by helping the expectant mothers.

After the anesthesia doctor disinfects the skin of the waist and back, use a thin needle in the gap between the two lumbar spine to reduce the pain during the puncture.After the effect was effective, the anesthesiologist put a fine and soft duct into the external cavity through a puncture needle and removed the puncture needle.Then through this guide pump, you can continue to pump the analgesic solution in small doses. Generally, you can feel that the pain is reduced a few minutes after administration.effect.

During the childbirth, the analgesic pump will continue to pump the analgesic solution of the analgesic, and the expectant mothers can also take the self -control type according to the degree of pain: when the degree of pain increasesDevice, analgesic pumps will inject the corresponding analgesic drugs according to the set parameter additional pump.This is convenient for expectant mothers to grasp the timing of administration of analgesic drugs according to her situation.At the same time, doctors and midwives can also adjust the dosage of analgesic drugs according to the needs of the mother and the progress of childbirth.

4. Does painless impact on your mother?

Painless delivery can greatly reduce childbirth pain, help expectant mothers reduce anxiety, reduce stress, have more physical strength, and then relax and actively participate in the delivery process.After painless delivery, most expectant mothers can still feel contractions, that is, feel that the stomach is tight, and under the guidance of the midwife can be more effectively moving with breathing and screen gas to promote cervical expansion and uterine contraction.Essence

Some expectant mothers will worry that painless delivery needs to be injected on the waist, which will cause postpartum back pain.In fact, the reason why postpartum pain is related to the heavy lumbar burden during pregnancy, the weakness of the waist muscles affected by the hormone, the postpartum breastfeeding posture, etc., has nothing to do with the operation of painless delivery.

The dosage of analgesic drugs used during painless delivery is small. Only 1/5-1/10 of the anesthesia dose required for cesarean section surgery will not lead to serious sequelae of expectant mothers. Individual expectant mothers may have slight nauseaVomiting, dizziness, legs feel numb and wood, but these discomforts will not last too long, generally do not need special treatment. After delivery is completed, painless delivery will subscribe by itself.

5. Does it affect the baby without pain?

The analgesic drug used in painless delivery enters the external cavity of the duct, and does not directly enter the blood of the expectant mothers. A small amount of drugs absorb blood to the fetus and enter the fetus. It will not affect the baby.In the same way, analgesic drugs that can be secreted by milk are also extremely small. After delivery, breastfeeding can be performed immediately without waiting for painless delivery.

Studies have shown that drugs used in painless delivery will not increase fetal birth defects, or cause abnormalities such as neurological disorders.

During painless delivery, obstetricians will closely monitor the health of the fetus through fetal heart monitoring. If there are any abnormalities, they can be discovered in time and take corresponding measures.Studies have shown that the analgesic in the spinal canal will not extend the time of the birth or increase the risk of cesarean section.The World Health Organization (WHO) also pointed out that under the right conditions, painless delivery is safe and effective.of.

I hope that each expectant mother can reduce the pain of childbirth with the help of painless delivery, and more comfortable to cross the level of childbirth, and usher in every angel baby safely.

Author: Yan Siyi, Department of Anesthesiology, Chang Geng Hospital, Beijing


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