The birth of a baby in the embrace of a smiling, pain-free mother is one of the most exciting and noble moments in medicine. Pregnancy is the time to make some decisions for you and your baby. We hope the information provided here will help you to make the right choice so that childbirth will remain an unforgettable moment in your life. The Re-Medika Anesthesiology Team is at your disposal 24 hours / 7 days a week.
BE INFORMED, THE CHOICE IS YOURS
FACTS ABOUT EPIDURAL ANALGESIA
In Remedika over 70% (adjusted number) of patients giving birth spontaneously, give birth painless with a help of an epidural analgesia.
It presents the most efficient method in the treatment during labor
It is the only method by which the act of birth can be fully pain relieved
In average, every third woman in the developed countries uses this method while delivery
In some hospitals percentage is above 90%
8 out of 10 would choose the same method for the next childbirth
Epidural analgesia does not have side effects for the newborn baby
PREPARING FOR DELIVERY
We recommend visiting prenatal pregnancy classes. A team of specialists obstetricians, pediatricians, anesthesiologists, psychologists and midwives will introduce you to the changes you may expect during pregnancy and childbirth. You will learn breathing exercises, posture during delivery, they will explain techniques for pain relief and as well as acceptance and care of the newborn. You can additionally get to know and talk to anesthesiologists when you come to regular maternity care and CTG checks. The presence of the partner during childbirth, which we particularly support at ReMedika, is of invaluable importance as psychological support for the mother but also for the partner.
WHY IS THE TREATMENT OF CHILD DELIVERY PAIN SO SPECIFIC?
The childbirth act, especially for the women who give birth for the first time, may be very painful and almost always there is a need to help the woman in labour. The presence of the fetus is limiting the choice and the quantity of the analgesic that the doctor may administer to the mother. Analgesics used in the treatment of labor pain administered intramuscularly or in a vein are transmitted through the placenta and may cause some undesired effects on the baby after the birth. This is the reason why the dosage that is safe for the newborn is inefficient in treating the labor pain.
HOW THE LABOR PAIN BEGINS?
Childbirth is special and unique for every woman. Towards the end of pregnancy begin contractions of the uterus, at first rare, and then they are more often and stronger, which causes the labor pain, which strength is different at every woman during delivery. Towards the end of the birth itself, also, there is the pain of stretching the soft birth canals. The percentige of women in labor who do not ask for pain relief is very small, and the rest have a great benefit of the pain relief. The first time of childbirth is usually the longest and the labor pain is the strongest. There are lots of factors that have an impact on the pain:
Size and position of the baby
Strenght of the uterus contractions
Pain tolerance of the woman in labor
Pelvis and birth canal dimensions
Use of stimulation by the obstetrician in order to start or speed up the process of birth
Types of pain relief
Today almost 80% of the women in labor ask for some type of pain relief.
The most efficient and mostly used techniques are the region techniques, which include epidural, spinal and the combined epidural- spinal analgesia. Their biggest advantage is the efficiency and absence of side effects for the baby. That is also the reason why they are so widely spread in the developed countries, above 90% in some hospitals.
The epidural analgesia is with no doubt the most efficient method in the treatment of labor, especially for the primipara whose childbirth lasts longer than usual. It is available to all the women in labor who are interested. The side effects are extremely rare as use of anticoagulant therapy or infection of the place where the epidural cateter is placed.
WHAT IS EPIDURAL ANALGESIA?
The method is consisted of placing a thin epidural cateter (1mm) in the part of spine known as loin after skin local anesthesia. The best time to be placed is when the rhythmical contractions are shorter and more painnful and when the cervix is 3-4 cm dilated. The procedure is done in a sitting or side position, patient’s knees are towards her abdomen and her chin towards the chest bone, so the back’s loin part should be straight up. The administration of medicine through the epidural cateter near the nerves enables to cut the conduction of pain from the uterus and soft birth paths towards the brain where every sensation is actually formed including the pain.
The effects of the pain relief may be felt after 20-30 minutes, and the medicine is administered constantly through a special pump, until the birth is finished. Mother feels warmness and light numbness in the legs and the lower body, the pain is lost, but the contractions are felt. Throughout the whole childbirth, mother’s blood pressure and her heart frequency are controlled, and through the CTG, baby’s puls and the uterus contractions are controlled.
Only in Re-Medika, the so called Epidural Analgesia is applied that is controlled by the patient, where the woman in labor through a special pump by herself controls the quantity of the medicine applied through the epidural catheter, thus, controlling the level of pain.
WHEN IS SPINAL ANALGESIA APPLIED?
Spinal analgesia is a rarely used technique and the effect is after 2-3 minutes. This technique is applied only when we expect that the childbirth is finished in the following 2 hours. Its biggest flaw is that the medicine can be applicated only once and cannot be added more times, but, another punction has to be done, if the childbirth is not finished.
The combined spinal- epidural technique uses the adventages of the previous two- fast effect and duration until childbirth is finished. It is mostly used in the so- called “walking” epidurals ,when the patient may be mobile during the childbirth.
WHAT IF THE CHILDBIRTH HAS TO BE FINISHED WITH A C-SECTION?
In case when the baby is not dropping even though the cervix is dilated, or the umbilical cord is short and holds the baby, childbirth has to be done by C-section. The epidural catheter may be used for the C-section anesthesia, and more concentrated solution of the medicine is administered that blocks in total the legs and the lower part of the abdomen, up to the chest. Thus, the general anesthesia for C-section is being avoided and the mother is awaken so she can hear the baby’s first cry and then to see and touch her baby when put on her chest by the pediatrician. Simply, a moment to remember.
ARE THERE COMPLICATIONS WHILE EPIDURAL ANALGESIA?
Sometimes there might be some difficulties in locating the epidural area so a slight pain may occur on the puncture spot, it lasts for a day or two and is without any complications. There are rare cases when a headache might occur after the epidural analgesia.