Pain Relief Options for Labor and Childbirth

硬膜外麻醉疼痛c是一个流行的选择ontrol because it does not affect your ability to push during labor. With this procedure, medications are injected near the nerves of the low back to block pain signals from your lower body, even though you remain awake and labor is usually not significantly slowed. An anesthesiologist typically administers this type of anesthesia. With an epidural block, the medicine is injected into the sac that surrounds the spinal cord. Before the medications are injected, a numbing medication is given into the lower back. An epidural block can be used for a Cesarean delivery.

With a spinal block, both contractions and the ability to push are temporarily abolished. With a spinal block, the anesthetic is injected into the subarachnoid space surrounding the spinal cord. A spinal block is usually used when a Cesarean section or an instrumented delivery (e.g. forceps or vacuum extraction) is planned. A spinal usually provides better pain relief than an epidural and may take several hours to wear off, at which time sensory and motor function of the tissues/muscles controlled by the previously blocked nerves will return.

Because many women are not able to urinate immediately following regional anesthesia, a catheter may need to be inserted into the bladder until the spinal or epidural block wears off. A relatively uncommon complication is aheadachethat begins after the anesthesia wears off. Both types of anesthesia may temporarily reduce官网地址bwin, although this is more commonly seen with a spinal block.

A spinal block requires less medication and is typically given only one time, while, with an epidural block, a catheter may be inserted into the epidural space for repeated delivery of anesthetic medications as necessary.

An epidural block takes about 10 to 20 minutes to work, and because a catheter is inserted into the epidural space, the effects can last as long as needed due to the ability to inject more medication. A spinal block begins working immediately, but its effects last only about 2 ½ hours. It is possible to have a combination of both spinal and epidural anesthesia.

Local injections of a numbing medication may be used to relieve a small area of pain, typically around the vagina, if you require anepisiotomyto extend the vaginal opening or ifstitchesare needed to repair any damage. This type of anesthesia cannot be used to relieve the pain from contractions during labor.

A pudendal block is another type of local anesthesia. It involves injecting a numbing medication into the wall of the vagina shortly before delivery to block pain signals from the vagina and area around the vaginal opening. It usually works within 10 minutes and lasts for up to an hour. It does not relieve the pain of labor and is only used at the time of delivery.

Narcotics, or opioids, aredrugs减少疼痛的感知。他们可能会given intravenously or as an intramuscular injection during labor. They can causenauseaor sleepiness, and they do not completely eliminate pain. Although narcotics have been shown to be safe in labor, they may cause a temporarydepressionofrespirationin both mother and baby.

Nitrous oxide is an odorless, tasteless, inhaledgasthat is given using a hand-held face mask. It is not generally used in labor in the US but is sometimes used in the United Kingdom and Canada. It has little effect on the baby. Nitrous oxide does not eliminate pain but changes the way the pain is perceived.