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Does painless delivery affect children? Is it good for mothers to use anesthetics

Original title: does the use of anesthetics during painless labor affect the fetus?

Post a news:

The pain of parturient women makes the husband refuse to give birth without pain: anesthesia affects children \http://news.163.com/18/0328/00/dduo733v0001875p.html

Our term "painless delivery" generally refers to the use of "intraspinal block technology" epidural block or epidural combined with subarachnoid block analgesia, which is a kind of delivery analgesia technology.

Although the analgesic effect for the puerpera varies from person to person, in most cases, the pain level of the puerpera can be controlled below 3-4 points, and some people can even reach 0 point.

After most parturients use labor analgesia, they will only feel the tightness of their stomachs during uterine contraction, without obvious pain.

The routine operation is to have the anesthesiologist give an injection at the waist and back of the parturient.

This needle is neither thin nor shallow, and the place where it is inserted is not the common muscle or blood vessel, but the bone suture of the lumbar spine.

In addition, when the needle arrives, it needs to put another small catheter into it, as follows:

Then anesthesiologist according to the specific circumstances of childbirth, continue to give low concentration of anesthetics until the end of childbirth.

As for the influence of anesthetics on the fetus, the simplest answer is:

The dosage and concentration of drugs used in epidural labor analgesia are low, and the drugs that enter into the maternal body in unit time are far lower than that of cesarean anesthesia (generally 1 / 6 ~ 1 / 7).

No one is afraid of anesthesia for cesarean section. Why should painless delivery be afraid?

Moreover, the anesthetics are directly injected into the spinal canal (epidural cavity or subarachnoid cavity) instead of the vein, and the drugs absorbed into the mother and then into the fetus through the placenta are very few, so there is no adverse effect on the fetus.

In fact, after analgesia, most of the parturient women's childbirth time is shortened: the perineum is loose, the rest is good, the food they want to eat is good, they have strength when they need to work hard, the cooperation with the midwife is also coordinated, and the baby birth is easier.

However, some people can't cooperate with the contractions because of the inhibition of pain after the opening of the uterine orifice. Therefore, this time will be a little longer, but it won't affect the safety of the fetus.

That is to say, painless delivery has little effect on the first stage of labor, but it will affect the second stage of labor, that is, the time after the opening of the uterus.

But the impact of anesthetics on the outcome of a newborn's birth is at least not to worry about.

As long as the operation is successful, there will be almost no needle down. Mom is so happy that the child is stupid.

The prevalence of painless delivery in Europe and the United States is quite high. If there is a problem with the fetus, it will be stopped long ago. How can it be used today.

Of course, when it comes to painless delivery, the biggest problem must be:

Dr. Ding Ding! I'm going to have a baby. Where can I find a hospital with painless delivery.

I started this morning to sort out a list of hospitals that can deliver painless labor for your reference. However, the problem is

Painless delivery is not a very difficult thing technically, but according to the operation process, it also said that as long as the child is not born, during painless delivery, the anesthesiologist needs to be on call 24 hours a day, adjust the drug dosage at any time according to the maternal reaction and the progress of labor and judge the appropriate time to increase the drug dosage.

Generally, the average birth process is 12 hours, of course, fast and slow, but the anesthesiologist is basically nailed here in this period of time. This is a very high demand for human resources of the Department of anesthesiology in the hospital.

Maybe the hospital you are looking for is qualified, skilled and staffed. You are going to do it. As a result, if there are patients in other departments who need anesthesia urgently, the anesthesiologist will go there. Then you can't do this painless delivery

But generally speaking, the local maternal and child health care hospital carries out painless delivery more, so the parents to be can make a query in advance, as for the precautions of carrying out painless delivery, find the place to do, naturally a doctor will tell you in detail.

After all, according to an article on Xinhua in 2004:

Of China's annual average of 20 million women, only about 10000 have had painless childbirth, less than 1%.

Before, we always said that giving birth to a child was painful. It was not until these days that many people realized that there was such an option as painless delivery.

There are many reasons for the low promotion rate of painless childbirth in China, but I hope this situation will change after this tragedy.

Of course, I would like to see more reliable and more conducive to the promotion of labor analgesia technology.

After all, from short-term contraceptives to labor analgesia technology, the only thing that can save women in these years is technological progress