1 months pregnant and one day give birth. However, there is a Chinese saying: "Give birth to a baby is like entering the gates of hell." In just a few short words, it expresses the pain and dangers experienced by women in the past.
Today, under the general trend of the country vigorously advocating the popularization of " painless childbirth ", women can give birth comfortably.
Some people may not be rich, some may feel sorry for money, and some may have doubts, but this is the least money that should be saved. In other words, this is the most worthwhile money. Why do you say that? Let’s take a look at the problem of why labor pain is reduced:
Severe pain can lead to a series of problems:
1. Excessive tension in the mother → hyperventilation → respiratory alkalosis → left shift of the oxygen separation curve → decrease in oxygen release of hemoglobin → intrauterine hypoxia;
2. Shouting → increase in oxygen consumption of the body → metabolic acidosis → decrease in placental blood flow → intrauterine hypoxia;
3. Sympathetic nerve excitation → increase in catecholamine release → vasoconstriction and acceleration → placenta blood supply decreases → intrauterine hypoxia.
No matter what the cause of intrauterine hypoxia, it directly leads to fetal distress . If the production conditions are good, the impact may be little. If there is any accident during the labor process, children who are already hypoxia will easily suffer from complications due to hypoxia.
In practice, it was found that severe pain will cause the mother to force herself without obeying the command. The result is that the unprepared birth canal may cause edema of , , or even tear, which in turn increases the difficulty of production. Some mothers eventually had to choose cesarean section.
Some studies have shown that postpartum depression is closely related to labour pain. This is easy to understand. A person who is tortured by pain all day long cannot be in a better mood. The pain that others cannot experience in person has increased the repressive mentality of the mother being ununderstood. These factors may become the inducing factors of postpartum depression.
answers several high-frequency questions:
1. Does it hurt at all after giving birth and analgesia?
doesn't hurt at all, that's an ideal state, but it's actually impossible. Anesthesiologists have always emphasized that this analgesia is "labour analgesia" rather than "painless delivery".
This is because the range of pain caused by a large range. The first labor process is mainly caused by T10-L1-conducted uterine contraction pain; the second labor process is mainly caused by the premature compression of fetal conduction caused by S2-S4-conducted foetus. The best blocking range for intra-spinal analgesia is the upper and lower segments of the catheter tip. And T10~S4 has exactly six segments. In other words, the catheter tip should be accurately placed at the midpoint of L1.
At present, most intra-spinal anesthesia (analgesia) rely on the experience of anesthesiologist. Since it is experience, there are errors. Even if ultrasound is used, no one dares to say that the catheter can be placed accurately in the target position. In addition, changes in maternal position and accidental pulling of the catheter may cause the catheter tip to be out of the target position.
Therefore, don't expect too much value from the beginning. If you only hope to relieve pain, you may experience it better with the blessing of spiritual relaxation.
2. When will the pain start to be analgesic?
Most hospitals in China call anesthesiology department when the cervix is opened, but the latest consensus is that "you can get a blow as long as there is pain." The biggest problem here is the issue of updating obstetrics concepts. At present, many obstetric medical staff are worried that analgesia may cause the mother to lose energy after giving birth. However, this analgesia is actually controllable.
puncture does not mean that a large dose of analgesic drugs must be given. When the labor process starts and the pain becomes severe, you can take medicine at any time. In addition, mothers who frequently suffer from severe pain generally cooperate poorly. Therefore, changing concepts may be something that most anesthesiologists prefer to see.
3. Does it affect the baby?
In fact, this medication that directly treats spinal nerve has very little anesthetic dosage. The total amount of anesthetic is not even as much as a minor operation. The amount of anesthetics that enters the uterus after being diluted by the mother's body is very small. Also, don't forget that there is a placental barrier! Under the protection of the placenta barrier, it is difficult for macromolecular drugs to harm the fetus through the placenta.
Take a step back, even if some drugs enter the fetus. However, at this time, the fetus has long passed the sensitive period, which is prone to teratogenic . A trace amount of anesthetic is not enough to cause the baby to behave.
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