A few days ago, I was on the night shift of [painless labor]. Just after taking over and counting the medicines, I received a phone call from the doctor in the delivery room. A parturient asked for labor analgesia.
When I came to the delivery room and asked briefly about the situation, I couldn’t help frowning: another pregnant woman who didn’t come to the [labor analgesia] course.
Seeing that she was already in great pain and sweating, I decided to give her anesthesia first.
Generally speaking, it takes about 7-8 minutes for a skilled obstetrician anesthesiologist to do this process, and the middle pregnant woman may have 2-3 contractions. At this time, the pregnant woman must maintain her current position and cannot move.
There are still many misunderstandings about painless childbirth.
Painless childbirth makes you lie down and give birth to the baby?
[Doctor, I will be able to lay down and give birth to the baby before I know it? ]
[Well, not necessarily, some people can.]
In fact, [painless labor] should be called [labor analgesia] in a strict sense.
The implementation of labor analgesia does not allow all pregnant women to give birth to their babies unconsciously when lying down. Under normal circumstances, labor analgesia can reduce about 70% of labor pain, which is already very ideal.
Of course, there are indeed some pregnant women who have given birth to their babies under the ideal condition of almost no pain, but this requires precise cooperation from many aspects.
To sum up, the factors that need to be coordinated include the following aspects:
1. Reasonable nutrition during pregnancy
Pregnant women should pay attention to reasonable nutrition during pregnancy and should not raise their babies too big. In the words of obstetricians, it is called [head and basin should be commensurate].
2. Attendance in school curricula for pregnant women
After the card is established in the scheduled delivery hospital, it is best to attend all the courses in the relevant pregnant women’s school, especially the correct application of [Lamaze breathing method] during labor and the relevant courses in [painless delivery].
STEP 3 Strive for planned deliveries
To formulate a scientific and reasonable delivery plan, especially to be prepared for labor pain, and to think of good countermeasures, so as to truly achieve [planned delivery].
4. Be flexible in time of labor
After labor, we should have good compliance with the suggestions of medical staff. We must not stick to one track and be flexible in due course.
In fact, more than 70% of pregnant women can give birth naturally, and the fear of labor pain can be solved by anesthesiologists and obstetricians.
Is painless childbirth [giving birth to children under anesthesia]?
[Well, what are the methods for labor analgesia? ]
[From the point of view of whether drugs are used or not, they can be simply divided into two categories: drugs and non-drugs.]
Many pregnant women subconsciously feel that the use of analgesics or narcotics will affect their babies. Here, I will put it aside for the time being and look at what methods can help pregnant women relieve labor pain without drugs.
1. Spiritual Encouragement Act
It mainly refers to the fact that a pregnant woman is accompanied and guided by a person with labor experience or relevant medical knowledge during labor to correctly and reasonably use Lamaze breathing method, to tell the general situation of the whole labor process, to eliminate her psychological fear of labor pain and to provide spiritual support.
2. Transcutaneous electrical nerve stimulator
This method is similar to some spectrometers several years ago. It has two electrode pieces attached to the back waist of the parturient, which can relieve the waist soreness and backache of the parturient to a certain extent and can be used in the early stage of drug analgesia in the spinal canal.
3. Water delivery
It can relieve some pain during labor, but as of 2015, doctors do not recommend it.
These methods are not as effective as drugs for analgesia.
From the methods or approaches of using drugs, drug analgesia can be roughly divided into intramuscular injection, intravenous injection and nerve block.
Among them, nerve block is the most mature and effective analgesic method currently being used at home and abroad, which is called “painless labor”. Of course, it needs to be completed by anesthesiologists who master special nerve block technology.
The method of nerve block is to give an injection on the lumbar spine and inject the medicine into the bone seam of the lumbar spine. To give an injection in the bone seam of the lumbar spine, but also to put a thin tube, so as to add analgesic drugs at any time when the labor pain increases to affect rest.
Of course, anesthesiologists will ensure that the dosage and time of medication can be used safely to ensure the health of the children in the belly. The action of adding medicine can also be completed by pregnant women themselves, which enables them to deeply realize the happiness of giving birth and giving birth.
Is drug labor analgesia safe?
1. Does drug labor analgesia affect the production process?
In fact, after analgesia, the delivery time of most parturients is shortened: the perineum is loose, the rest is good, the food you want to eat is eaten, when you should exert yourself, you will have strength, and the cooperation with midwives is coordinated. It is difficult to think unhappily!
However, some people may not be able to cooperate with uterine contraction force because the pain is suppressed after the uterine opening is fully opened. Therefore, this time will be slightly longer, but it will not affect the safety of the fetus.
2. Is drug labor analgesia applicable to all pregnant women?
Some pregnant women are not suitable for intraspinal labor analgesia due to their own reasons, such as spinal problems, unqualified hemagglutination indexes and potential infection sources.
Of course, there are risks, mainly in the puncture process. In fact, this is almost the same as the anesthesia operation during cesarean section, but the dosage of drugs is only 1/6 ~ 1/7 of the anesthesia for cesarean section.
If it goes well, you can get out of bed and walk freely after pulling out the tube for several hours. If you have cesarean section, you can lie down for a long time.
3. Can drug labor analgesia completely eliminate pain?
Really, that’s what foreigners do. Just adjust the medication plan, do a good job of monitoring the baby and you, and add anesthesiologists on call.
Responsible Editor: Ding Ruoshui
This article is exclusively authorized by the author to be used by Clove Garden and refuses any other form of reprinting.