Advantages and disadvantages of painless delivery
Benefits of painless delivery:
First, it can alleviate the pain of pregnant women and is conducive to natural delivery. Once administered, the drug effect lasts for about an hour and a half, or even longer. After the parturient feels pain, she should continue to use the analgesic pump to give drugs, and automatically control the analgesia, and so on until the end of delivery;
Secondly, it is convenient, because the concentration of anesthetic is very low, which hardly affects the motor function of pregnant women, so pregnant women can get out of bed with the permission of doctors;
Third, protect pregnant women and fetuses. Some data show that when the human body feels severe pain, it will release a substance called catecholamine, which has adverse effects on pregnant women and fetuses, and the blood and oxygen supply of newborns may be affected;
Disadvantages of painless delivery:
Painless delivery is not really painless. Epidural anesthesia is not really painless, it just relieves the pain. The medicine inside is useless for the pain caused by contractions. Pain or pain? The reason why some people can't feel pain has a lot to do with her high pain threshold and the level of anesthesiologists. The third drawback is that it is difficult for pregnant women to exert their strength, because under normal circumstances, the direction, how and how much force pregnant women should exert can be decided according to their physical reactions. However, after anesthesia, pregnant women can't receive this kind of feedback information and need to reduce the dosage. It takes 30 minutes for pregnant women to regain consciousness to 1 hour, and then they will know in what direction to exert their strength.
What's wrong with painless delivery?
At present, the methods of labor analgesia include non-drug analgesia and drug analgesia.
Non-drug analgesia includes mental comfort, breathing and water delivery. Its advantage is that it has no influence on labor and fetus, but its analgesic effect is poor. Drug analgesia includes nitrous oxide inhalation, intramuscular injection of analgesic drugs, labor analgesia in spinal canal, etc.
Intraspinal labor analgesia is the most effective method of all labor analgesia methods so far, which is implemented by experienced anesthesiologists.
After successful lumbar puncture, the anesthesiologist injected a small amount of local anesthetics or opioids into the subarachnoid space, and placed a thin catheter in the epidural space. One end of the catheter is connected with an electronic analgesia pump, so the parturient can control the medication according to the degree of pain (the anesthesiologist has set an hour limit, so there is no need to worry about overdose). Analgesic pump can be used continuously until the end of labor. During the whole process, the anesthetic concentration is low, which is equivalent to1/5 ~110 during cesarean section anesthesia. Strong controllability and high safety, hardly affecting the activities of lying-in women. The parturient is conscious and can actively cooperate and participate in the whole delivery process.
When giving parturient labor analgesia anesthesia, we should consider the principle of not affecting the labor process and fetal safety. Through strict administration of analgesic drugs, the transmission of pain nerves during labor can be blocked without affecting the regular contraction of uterus, thus avoiding or alleviating labor pain and minimizing labor pain, but retaining uterine contraction and slight pain.
Side effects of painless delivery
For some mothers, there are some discomforts, such as temporary trembling, low blood pressure and vomiting. However, these discomforts will not be very serious, and will disappear naturally in a short time, which will not have much impact on the maternal body and have no adverse consequences. Very few mothers will have headache, backache, infection, cramp, drug allergy or incomplete anesthesia and analgesia.
Painless delivery is also divided into several situations, but epidural anesthesia is the most commonly used. A few people may feel back pain, headache or paresthesia of lower limbs, but the incidence is still very low. Theoretically speaking, the possibility of more serious complications exists, such as hypotension, but the probability of occurrence is very low. When expectant mothers choose painless delivery, doctors will definitely take effective measures to prevent it.
Painless childbirth is not really painless, but it relatively reduces the pain during childbirth and has some side effects. Expectant mothers should consult a professional doctor before choosing painless delivery.
Advantages over caesarean section
For a woman of childbearing age and school age who is healthy, full-term pregnant and has normal physical examination, natural childbirth should be regarded as the most natural thing and the normal physiological process of human reproduction. A mother should believe that she and her fetus have the innate ability to accomplish this sacred mission. Cesarean section is only a last resort alternative to childbirth, which is not good for both mother and baby. Cesarean section is usually a remedial measure for patients with obstetric pathological conditions, and it is an artificial and unnatural way of delivery. For lying-in women, increase the chances of intestinal adhesion, adnexitis, wound infection and endometriosis; For newborns, due to insufficient vaginal wall extrusion, the ability to gradually adapt to the external environment is insufficient, and amniotic fluid is not completely excluded, which is unfavorable to the respiratory function of newborns.