How is epidural delivery performed? Natural childbirth and caesarean section with epidural

Epidural delivery is a common method to reduce pain or not feel it. Epidural anesthesia is injected from the lower back so that you do not feel pain during natural delivery or cesarean section.

Childbirth is one of the sweet but scary situations that most women think about many times during pregnancy.... They want to be awake during labor, but the pain of natural birth changes their decision.

Read more: Water birth

Getting to know the concept of epidural anesthesia

An epidural is a common birthing procedure in which a numbing medicine is injected into the space around the nerves in your spinal cord, called the epidural space. The purpose of this is to reduce or completely eliminate pain (anesthesia) for a specific area of ​​the body, such as the abdomen. This is also called a local or regional anesthetic. Feel the pain.

Types of epidural (epidural)

• Spinal epidural anesthesia:In this method, anesthesia is injected below the waist... This type of anesthesia will be done mostly for cesarean delivery with epidural.
• Specific epidural anesthesia: In this method, the person feels the touch and contact of the medical equipment with his body, but there is no pain.... This type of anesthesia is usually used for natural childbirth with epidural.

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What is epidural delivery or painless delivery?

Epidural delivery is one of the common methods of delivery that pregnant women refer to these days.... In this method, the lower back loses its sensitivity to pain with regional anesthesia, and the person does not feel pain or touch...

This method is very effective for reducing the pain of childbirth and allows the mother to be more relaxed during the stages of labor and to be able to focus on the process of childbirth... On the other hand, reducing pain with local epidural anesthesia in natural pregnancy or cesarean section minimizes the possibility of creating tension in the mother and the related risks.

It is good to know that today, epidural delivery is one of the most popular methods of delivery among pregnant women....but still many people are worried about its complications when they hear the name of epidural anesthesia....GCORP company has provided us with the possibility of receiving online consultations of obstetricians and gynecologists, text or video, so that you can ask them your questions.

What is natural childbirth with epidural?

This method means reducing the pain of normal pregnancy with epidural anesthesia.... Near the time of delivery, a long, thin needle is inserted into your lower back and the anesthetic is injected directly into that area..

In this method, the amount of local anesthesia is less and the amount of sedation is more... For this reason, the mother does not feel pain during natural childbirth with local anesthesia, but she notices contact.

Cesarean delivery with epidural

In this type of delivery, due to local anesthetics and sedatives, the lower back area completely loses its feeling.... Therefore, despite being awake, the mother does not feel anything in her legs and does not notice the pain...

Actually, with its anesthetic effect, this drug reduces your pain during cesarean section... so that the pain of the most severe stages of surgery and cesarean section is very little felt.

Learn more: What is the best birth?

How is epidural delivery?

This space is located exactly outside the space around the spinal cord and spinal fluid.... The process of giving birth with local anesthesia is painless for women or they will feel very little pain.... Any type of sedation, even epidural local anesthesia, enters the baby's bloodstream through the umbilical cord.

With the difference that the said anesthetic drug has less negative effects on the fetus in the mother's womb than other drugs that are used to reduce labor pain.

Epidural delivery method

Currently, this type of pregnancy is done in two ways:

1.... The normal state of epidural delivery

In this method, the anesthetic catheter is periodically injected into the epidural space with the help of a pump. The anesthetic used in this method is morphine or fentanyl, which will be a suitable alternative to higher doses of anesthesia such as chlorophycaine or lidocaine.

Learn more: Vaginal varicose veins in pregnancy

2... Spinal epidural (CSE)

In this method, first a sedative, anesthetic or a combination of them is injected under the outer membrane covering the spinal cord, then it is placed in the epidural space. The anesthesiologist first inserts the needle and then the catheter into the epidural space, then by pulling out the needle, the catheter remains in the desired area.. In this way, the mother can move in bed and change her position.

Read more: How is labor pain?

Stages of epidural delivery

The pain-free delivery process is as follows:

1. At first, the anesthesiologist and gynecologist will talk to you about the details and possible complications of painless childbirth.
2. The expectant mother should lie on her side in a bent position or be on the edge of the bed.
3. After disinfecting the desired area on the back, the anesthesiologist will place a special needle containing anesthetic in the lower back.
4. The tube is passed with the help of a special needle, then the needle is removed and the catheter is placed in its place.
5. If re-injection of the epidural is required, this is done through the catheter left in the back.
6. In this case, the pregnant mother can lie on the catheter without strong movement.
7. In the first stage, a small dose is given to the patient to test the anesthetic, and if there is no serious problem, the full dose is injected.
8. After the injection of epidural anesthesia during childbirth, the mother's heart rate and blood pressure are regularly monitored.
9. During epidural delivery, the mother must turn to the side in different directions so that the delivery process does not slow down.
10. After delivery, the catheter is removed from the back, except during cesarean delivery with an epidural, when the catheter remains in place for subsequent drug injections.

Difference between epidural and spinal delivery

Both methods for painless delivery are performed with the help of anesthetic drug injection in the lower back area... but the method and place of drug injection are different in epidural and spinal delivery...

In epidural delivery, the anesthetic is injected into the target area through a long needle between the lumbar vertebrae, and then the catheter inside the needle is left inside to inject the medication directly into the back... But in spinal delivery, the anesthetic is injected into the lumbar region through a shorter needle.. Vertebra from the spine to prevent spinal cord injury..

Actually, the needle is for injecting the anesthetic drug into the lower back, but the catheter does not enter the lower back to directly inject the drug.. Due to the shortness of the needle, the delivery process to the spine is faster and pain relief occurs sooner.

Possible side effects of painless childbirth

The most common complications of epidural delivery include the following:

• Nausea
• back pain
• Tinnitus
• Difficulty in emptying urine
• In rare cases of nerve damage
• Possibility of high blood pressure in women
• The experience of headache caused by the secretion of spinal fluid
• Numbness of the legs until a few hours after delivery

Result of epidural delivery

Painless labor is an effective, common and safe way to reduce the intensity of pain during labor or stop it temporarily.... Epidural anesthesia makes the mother feel no pain during labor or the sense of contact is very little.... Do you think epidural reduces pain in natural or cesarean delivery?. Share your comments and suggestions with us in the GCORP LLC magazine.

Painless childbirth frequently asked questions