Epidural
anesthesia is the most popular method of pain relief during labor. 50% of women
giving birth use epidural anesthesia. It is the pain-relieving shot that some
pregnant women get when they are giving birth. But it has other uses too. It is
an injection that goes into your epidural space which is right outside the
membrane that protects your spinal cord. Best Gynaecologist in Mohali Doctors use epidural injections to relieve pain
during and after surgery, as well as managing labor pain. It requires a low
dose of medicine and has fewer side effects.
How is an
epidural useful?
Epidural
may give you longer lasting pain relief. You stay more alert and mobile during
the epidural. This is the most common analgesia in which doctor block the
spinal nerves and prevent pain signals from traveling to your brain begins to
work in 10 to 20 minutes. You would get a nerve block through a small flexible
tube called a catheter that goes near your spine at the back and discharges the
medicine, so you will not feel any pain.
How does an
epidural work?
All
epidural target the nerves that carry pain signals. So you are still able to
feel foul and pressure. You will be able to walk as and with some help for
their reasons doctors usually recommend the used an epidural nerve block when a
woman chooses to get anesthesia during childbirth. Epidural medications fall
into a class of drugs called local anesthetics such as bupivacaine,
chloroprocaine or lidocaine. They are often delivered in combination with
opioids or narcotics such as fentanyl etc. to decrease the dose of local
anesthetic.
How is an
epidural given to a pregnant woman?
Intravenous
fluid is started before active labor begins and prior to the procedure of
placing the epidural. Anesthetist will administer your epidural, you will be
asked to arch your back and remain still which lying on left side or sitting
up. An antiseptic solution is used to wipe the area of your mid back. A small
area on your back will be injected with the local anesthetic to numb it. A
needle is inserted into the numb area surrounding the spinal cord. After that a
small tube or catheter is inserted through the needle into epidural space. The
needle is then carefully removed leaving the catheter in place to provide
medication either through periodic injection or continuous injection. The
catheter is tapped to the back to prevent it from slipping.
There are
two types of epidural:
Regular
Epidural:
A combination of narcotic and anesthesia is administered either by a pump or by
periodic injections into epidural space.
Combines
Spinal Epidural: an initial dose of narcotic, anesthetic or a combination of the
two is injected beneath the outermost of the spinal cord and inward of the
epidural space. This is the intrathecal area. The anesthetist will put the
needle back into the epidural space thread the catheter through the needle,
then withdraw the needle and leave the catheter in place. This allows more
freedom to move and greater ability to change position with assistance with the
catheter in place you can request an epidural at any time. Best Gynaecologist in MohaliFor More Details Visit Dr. Sk Gambhir Website.
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