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Epidural anesthesia during labor: consequences and cost

Most women who conceive a baby for the first time or just think about their conception frighten the process of giving birth because of the pain that accompanies it. Today, there are ways to significantly reduce it.

One of them - epidural anesthesia during childbirth, which allows you not to feel pain during fights. However, along with its obvious pluses, there are contraindications.

Decide whether epidural anesthesia can be used in childbirth, the consequences of which are very individual, should the doctor. There are times when you can not do without it. And sometimes the application is categorically contraindicated.

Thus, epidural anesthesia during childbirth should not be used in the following cases:

  • Poor blood clotting ;
  • Low blood pressure;
  • Problems with the spinal cord;
  • Diseases of the nervous system;
  • obesity;
  • Infection at the injection site;
  • High intracranial pressure;
  • Allergy to drugs;
  • Bleeding.

Indications for its use:

  • high pressure;
  • Low pain threshold;
  • Slow opening of the cervix;
  • Kidney and heart disease;
  • Problems with the retina of the eye;
  • cesarean section.

The way the birth will be performed with epidural anesthesia, and what the consequences will be, depends on the individual characteristics of the mother and the competence of the anesthetist. They can be the following:

  • headache;
  • The appearance of a hernia;
  • backache;
  • Neurological diseases;
  • Depression of pressure and trouble with breathing;
  • The probability of using forceps, the use of caesarean section and postpartum hemorrhage increases;
  • A newborn can have hypoxia, a violation of breathing and inhibition in development.

According to statistics, epidural anesthesia during childbirth leads to unpleasant consequences in 5-10% of cases. The rest of the women are delighted with this achievement of medicine.

So it's worth thinking about. When deciding to use this method of anesthesia, find a good obstetrician-gynecologist and anesthesiologist. During labor, clearly follow all their instructions.

Today, epidural anesthesia during childbirth, the cost of which in private clinics ranged from $ 100 to $ 800, is done free of charge in state maternity hospitals under indications. The price depends on the qualification of the anesthesiologist, the region, the particular institution.

Pros of its application:

  • The cervical opening time is shortened;
  • The fetus moves smoothly through the birth canal;
  • Pain is completely eliminated;
  • The mother is in full consciousness;
  • Reduces pressure;
  • Suitable for women of any age.

It is relevant for those who are contraindicated intravenous and inhalation anesthesia. Actively applied in cesarean section. This allows the mother to hear the baby's first cry and attach it to her chest.

Usually the dose at childbirth is calculated so as to anesthetize the contractions, and to the attempts the action has passed. This allows the woman to rest and gain strength. If there was an error with the calculation of the dose, this can complicate and delay the process of childbirth. Sometimes anesthetize and attempts, if they are contraindicated. However, this requires great skill from the obstetrician-gynecologist.

How is epidural anesthesia done during childbirth and is it painful? It blocks the impulses that go along the nerve trunks. Preparations like lidocaine are introduced into the epidural space, and they wash the spinal roots that pass there.

The puncture is done in a sitting position, bending forward or lying curled up with a bald head. Before the ankle is anesthetized and treated with an antiseptic. Through a needle, a catheter is inserted, along which the drug is delivered. First, use a trial dose. Then the needle is removed, and the catheter is glued with a patch. Throughout the birth the anesthetist monitors the status of the mother and her reaction to the drug. He can change the incoming dose.

Thus, this method gives the woman a choice. Either suffer severe pain, or during fights nothing to feel. The method has indications, contraindications and consequences. Therefore, its use must be in advance coordinated with the obstetrician-gynecologist and anesthesiologist.

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